Generally fee is for assessment itself. So whether or not you have it, you pay. You are paying for their time and expertise, not the diagnosis itself. Some places may have different policies but all I have seen work this way is

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It depends on the kind of diagnosis you get as well. There are lots of providers who are able to get it on paper for school and work accommodations, but the really expensive ones come with a lot more testing and can be used for things like government assistance and disability and such.

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What is the advantage of getting diagnosed vs just being pretty sure

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