Contact us! We are currently accepting only a small number of clients, and working on select weekends and limited weekdays. If this schedule might suit your needs, please complete our contact form and we will reach out to you for an initial phone consultation. Name First Name Last Name Briefly describe the concerns or questions leading you to consider an evaluation with us. What type of evaluation are you considering? Neuropsychological Therapeutic-Psychological Integrated I understand that Northlight Neuropsychology is not in-network with any insurance carriers and that I will be financially responsible for the entire cost of the evaluation. Yes, I understand. Use of this website to submit information may not be completely secure or HIPAA compliant. The use of the Internet or this form for communication with Northlight Neuropsychology does not establish a professional relationship. Confidential or time-sensitive material should not be submitted using this form and there is not a guarantee of a response time, though we do our best to respond promptly to each inquiry. Yes, I understand. Thank you! We’ve received your message and will contact you shortly.