Psychological Testing and Evaluation for Children and Teens in Oregon and Washington
Dr. Justin Bush, PhD provides comprehensive psychological evaluation and testing for children and adolescents across Oregon and Washington. Evaluations are designed to clarify a student’s learning profile, cognitive strengths, academic achievement, adaptive life skills, and—when appropriate—support diagnostic clarification to guide effective treatment and school planning.
Reasons families request an evaluation
A psychological evaluation can help when there are concerns about:
ADHD and executive functioning (attention, organization, planning, working memory)
Learning differences (reading, writing, math, processing speed)
Anxiety, mood concerns, or stress-related difficulties
Behavioral/emotional regulation challenges
School performance changes or questions about supports/accommodations
What a psychological assessment typically includes
Most evaluations include several components to ensure accurate, well-rounded findings:
Clinical interviews with the child/teen and parent(s)
Review of records (school, medical, prior evaluations as available)
Standardized, norm-referenced testing, which may include measures of:
cognitive abilities
academic achievement
executive functioning/attention
social-emotional or personality/behavior functioning (as indicated)
Behavioral observations and integration of data across settings when appropriate
What you receive
Families typically receive:
A feedback session with clear summary of psychological testing and evaluation findings (strengths, challenges, and patterns)
Practical recommendations for home, school, and therapy
When indicated, documentation that can support school special educational Individualized Education Program (IEP), 504 Plan, and/or Behavioral Intervention Plan (BIP) requests
Dyslexia and reading evaluations
Reading evaluations are a core part of this practice. When a child is bright but reading is slow, effortful, or inaccurate — or spelling and written expression lag well behind everything else — a targeted evaluation can identify a Specific Learning Disorder in reading (dyslexia) and separate it from attention, language, or anxiety explanations. The same applies to math: a dyscalculia-focused evaluation looks at number sense, fact fluency, and problem solving alongside cognitive processing.
Independent Educational Evaluations (IEE)
Families who disagree with a school district’s evaluation can request an Independent Educational Evaluation. Dr. Bush conducts IEEs by telehealth for families in Oregon and Washington, using a comprehensive battery and a report written for the people who have to act on it — the IEP or 504 team, the classroom teacher, and the parent. See school support and academic success for how findings translate into services.
What the evaluation process looks like
- Consultation and referral questions. Before any testing is scheduled, you and Dr. Bush clarify the questions the evaluation has to answer, and the expected scope is outlined so there are no cost surprises.
- Records and rating scales. School records, prior evaluations, and standardized rating scales completed by parents, teachers, and (where age-appropriate) the student.
- Clinical interview. A developmental, medical, educational, and family history interview with parents, plus an interview with the student.
- Direct testing. Standardized measures of cognitive ability, academic achievement, attention and executive functioning, and social-emotional and adaptive functioning, selected for the referral questions.
- Integration and report. Scores are interpreted together with history and observation, not in isolation, and written into a report that explains what the profile means in daily life.
- Feedback session. A meeting to walk through the findings, the diagnosis or non-diagnosis, and the recommendations — with time for your questions.
How evaluation supports IEPs, 504 plans, and accommodations
A useful evaluation does not stop at a label. The report translates the profile into concrete school recommendations — eligibility considerations, accommodations, instructional approaches, and the evidence behind them — so an IEP or 504 team has something specific to implement. It also gives parents language for advocating at school and a baseline for measuring progress later.
Telehealth psychological testing in Oregon and Washington
Interviews, feedback sessions, and much of the testing battery are conducted by secure video, which makes comprehensive evaluation accessible to families outside the Portland and Seattle metro areas. Dr. Bush is licensed in Oregon (License 2154) and Washington (License PY61540899). Evaluations are billed as a flat, all-inclusive fee — interview, testing, scoring, report, and feedback session, with nothing billed separately.
Evaluations and fees
- Reading / Dyslexia evaluation — $2,825
- Math / Dyscalculia evaluation — $3,125
- Combined reading and math — $4,025
- Records review and written critique, no new testing — $750
- Consultation — $275 per hour
Flat and all-inclusive. Your child’s live testing session is kept under two hours; everything else — records review, scoring, interpretation, and report writing — happens without them.
Turnaround
The written report is delivered within 10 business days of the final testing session and receipt of all rating scales.
Payment, insurance, and your Good Faith Estimate
Payment. A 50 percent deposit reserves your testing dates; the balance is due at the feedback session.
Insurance. Positive Development, Inc. is self-pay and does not bill insurance for evaluations. You receive a superbill — an itemized receipt with diagnosis and service codes — that you may submit to your plan for possible out-of-network reimbursement. Reimbursement is not guaranteed, and it is worth calling your plan first to ask what they cover. Many families use HSA or FSA funds.
Good Faith Estimate. Before any services begin you receive a written estimate of the total cost, as required under the federal No Surprises Act. You will know the full price before you commit to anything.
Districts, attorneys, and advocates
Dr. Bush is not employed by any school district and accepts independent educational evaluation referrals directly from districts, and from attorneys and advocates representing families. Criteria, credentials, and contracting details are set out for districts and for attorneys and advocates.
Frequently asked questions about psychological testing
How long does an evaluation take?
Testing is typically spread across more than one appointment, with additional time for records review, scoring, interpretation, and report writing. Because every battery is customized, Dr. Bush outlines the expected scope after your referral questions are clear.
Can testing be done over telehealth?
Yes. Many standardized measures have validated remote-administration procedures, and interviews, rating scales, records review, and feedback are all well suited to video.
Will the school accept a private evaluation?
Schools are required to consider outside evaluations. A private report cannot force an eligibility decision, but a well-documented one gives the team the data and the recommendations it needs.
Do we need testing, or should we start with therapy?
If the central question is diagnostic — is this ADHD, dyslexia, anxiety, or something else — testing usually answers it faster. If the concern is coping, mood, or behavior, child and teen therapy or parent consultation is often the better first step.
Request an evaluation
To start, email intake@justinbushphd.com with a few sentences about your child and what you are seeing. Putting it in writing means the evaluation is planned around your actual question from the first conversation. More answers are on the FAQ page.