ADHD Evaluation & Treatment
for Adults.

Yes. Under current DEA rules, practitioners can prescribe Schedule II stimulants (like Adderall, Vyvanse and Concerta) via video telehealth without requiring an in-person visit first. These flexibilities are in effect through December 31, 2026, while permanent regulations are being finalized.

All prescriptions require a thorough medical evaluation, which is what our comprehensive assessment provides. We follow the same diagnostic and monitoring standards whether you're in person or on video.

Stimulants and non-stimulants, depending on what your evaluation shows and your health history. Stimulants include methylphenidate (Ritalin, Concerta) and amphetamine formulations (Adderall, Vyvanse). Non-stimulants include atomoxetine (Strattera) and viloxazine (Qelbree).

No medication is decided before the evaluation. If ADHD is confirmed and medication is appropriate, we choose it together at that visit, after your blood pressure and heart rate have been checked. Prescriptions go to your local pharmacy and the cost of the medication is paid there.

It's a 25-minute computerized assessment you complete on your own computer or tablet. You'll work through a series of short tasks, each about 2 to 3 minutes, that measure staying focused, keeping track of things, planning ahead and pausing before reacting. Think quick, game-like exercises.

Results are scored automatically against age- and gender-matched norms and reported by area, so you have a baseline. No preparation needed.

Testing isn't a one-time event. You'll retest at week 4 and week 12 while we're adjusting your dose, then quarterly once your dose is stable. Each retest is read against your own baseline, alongside how you're actually doing, so treatment decisions rest on both.

We don't bill insurance directly. You pay at the time of service and we provide a superbill on request: a detailed receipt with the diagnosis codes, procedure codes and provider information your insurance company needs. You submit it to your insurer and they reimburse you based on your out-of-network benefits. Reimbursement varies by plan. To get a sense of what to expect, call the number on your insurance card and ask about your out-of-network mental health benefits, specifically your deductible, coinsurance and any session limits.

If your plan requires a prior authorization for a medication, we handle it. Most decisions come back within a few business days, and if you'd rather not wait we can usually start you on a well-covered option right away and switch once the authorization clears. Either way we'll point you to manufacturer coupons and other ways to bring the cost down.

No. Evaluation and membership fees do not include the cost of medication itself. Prescriptions are filled at your pharmacy and paid there.

Even though we don't bill insurance for visits, your prescription drug coverage works normally: your pharmacy runs your prescription through your plan like any other. Many ADHD medications are available as generics, and if a prior authorization is needed we handle it. We'll also point you to manufacturer coupons and other ways to bring the cost down.

Appointments open seven days out. The lead time is deliberate: your intake paperwork and cognitive testing are completed before the visit, so your appointment time goes to the evaluation itself. Once you book, everything you need arrives by email the same day.

Three things: a photo ID, a location in Wisconsin and a private place to talk.

At your first visit we check your photo ID on camera to confirm we're treating the right person. You also need to be physically in Wisconsin during every visit. Medical licensing works state by state, so telehealth visits are for patients located in Wisconsin at the time of the visit. If you'll be out of state on your visit date, reach out and we'll reschedule.

Find a private spot where you can speak freely. Headphones help. Our practice policy is that you're alone for the visit: it protects the accuracy of your evaluation and lets us verify it's really you. If you'd like someone to join for part of the visit, just tell us at the start.

The monthly fee covers everything: follow-up visits, medication management and titration, cognitive retesting at key intervals and secure messaging with Dr. Bracciano between appointments. There are no per-visit fees on top of the monthly rate.

Membership is month to month. Superbills are available on request for the services you actually received, so you can submit to your insurance for out-of-network reimbursement. A month with no visit usually has nothing to list.

Only if you're starting medication, and if you don't have one we take care of it. Stimulant medications can raise heart rate and blood pressure, so we take a numeric baseline reading before any prescription and recheck at set points while your dose is adjusted, then periodically once you're stable.

A home reading or a recent clinic reading works for your baseline. Starting medication and don't have a home blood pressure cuff? We send you a validated one, included in your membership.

That's a good outcome, and it's the evaluation doing its job. Anxiety, depression, sleep disorders and other conditions can look identical to ADHD, and they all require different treatment.

If we identify something else, we'll explain what we found, include it in your report and refer you to the right provider for it. The evaluation fee covers the evaluation whatever it finds; the full terms are in your paperwork.

If the picture is unclear at the end of your visit, we say so, document what would settle it and include one additional evaluation visit within 90 days at no charge. If the answer is not ADHD today and the issue we named is addressed later, a re-evaluation within 12 months is $395.

Yes, adults with an existing diagnosis are welcome. You'll still complete the full evaluation, including the cognitive baseline. Everything we prescribe reflects our own assessment, and if you're already on medication the baseline shows what your current treatment is really doing.

If your regimen holds up under review we'll continue it and build from there. If we'd recommend something different we'll tell you exactly why and map the change with you.