Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone Number *

(###)

###

####

What is your sex recorded at birth (i.e. on your birth certificate) *

Female

Male

Intersex

Preferred Gender Identity *

Woman/female

Man/male

Non-binary

I use a different term

How far along your self-identification journey are you? *

I self identify as autistic but want confirmation

I am close to self-identifying as autistic

I am wondering if I could be autistic but am not sure

I'm not sure what self-identifying as autistic means [That's ok!]

Other

Services through Neurodiscovery are conducted by an autism-assessment-trained Speech Pathologist. Only the report provided in the Confirm Plus Package is eligible to be used towards NDIS application, and it must be accompanied by a report from a Psychiatrist or Clinical Psychologist, as per NDIS guidelines. *

This service follows a neuroaffirming approach centred on the autistic experience. The assessment process involves a collaborative exchange of information, with the goal of helping individuals understand their autistic identity (if applicable) as they engage in formal assessment.

I understand

You can also be assessed exclusively by a Clinical Psychologist or Psychiatrist to address NDIS requirements, without using this service or undergoing a second formal assessment. *

I understand

EXPLORE PACKAGE - I confirm that I understand no formal identification ("diagnosis") will be made during the Explore Package sessions. The focus is on supporting self-identification or preparing for formal assessment. *

Yes - I understand

I have not selected the Explore Package

CONFIRM PACKAGE - The Confirm Package includes a one-page Personal Profile and a confirmation letter, but does not include a detailed report. This package is designed for those who seek formal validation without the need for extensive documentation. *

Yes - I understand

I have not selected the Confirm Package

CONFIRM PLUS PACKAGE - In order for the detailed report to be used in NDIS applications, it must be accompanied by a formal identification ('diagnosis') from a Psychiatrist or Clinical Psychologist as per NDIS guidelines. *

Yes - I understand

I have not selected the Confirm Plus Package