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Fully online private autism assessments

An evidence-based online autism assessment, completed from home

We offer a fully online private autism assessment for adults and young people aged 10 and over, delivered by our experienced UK autism clinicians over secure video. This service follows the same clinical standards as an in-person assessment and uses internationally recognised diagnostic tools, including the ADOS-2.

A fully online assessment costs £1,995, needs no GP referral and can be completed from home. It may be the right option if you want a professional, thorough autism assessment without travelling to a clinic. For young people, see our online assessments for teenagers.
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How an online autism assessment works

An online assessment follows exactly the same process as an assessment in clinic. The only difference is that the ADOS-2 observation takes place by video rather than in person.

  • Get in touch and we will check an online assessment is right for you.
  • Complete the pre-assessment questionnaires. We review these before your appointments are booked.
  • Developmental and personal history interview by video call or telephone, lasting 2 to 3 hours.
  • ADOS-2 Module 4 observation by secure video, lasting 40 to 60 minutes. We send clear guidance on setting up beforehand.
  • Multi-disciplinary clinical review against DSM-5 criteria. Two different clinicians are involved in every assessment.
  • Feedback session by video, and a comprehensive written diagnostic report within 1 to 2 weeks of your final appointment.

Most people have their first appointment within 2 to 3 weeks of booking, and receive their report 4 to 6 weeks after booking.

What you need: a laptop, desktop computer or tablet with a camera and microphone (the assessment cannot be done on a smartphone), a stable internet connection, and a quiet, private room where you won’t be interrupted. Position the camera so the clinician can see your face, arms and hands, and have five small everyday objects ready, such as a spoon, a pencil or a peg, for one of the ADOS-2 tasks. Our guide to preparing for an online ADOS assessment has more detail.

What information is gathered during an online autism assessment?

When assessing whether an individual meets the DSM-5 diagnostic criteria for Autism Spectrum Disorder, our clinical team gathers and reviews information across multiple areas, including:

  • Developmental and historical information
  • Current social communication experiences
  • Interaction style and communication patterns
  • Restricted or repetitive behaviours

This information is considered as a whole. No single tool is used in isolation.

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The role of the ADOS-2 in online autism assessments

What is the ADOS-2?

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) is an internationally recognised, gold-standard assessment tool used as part of autism diagnostic assessments worldwide.

It is a semi-structured observation and interview designed to assess:

  • Social interaction
  • Communication
  • Patterns of behaviour

ADOS-2 modules

The ADOS-2 includes five modules, chosen based on age and language level:

  • Toddler Module
  • Module 1 (pre-verbal or single words)
  • Module 2 (phrase speech)
  • Module 3 (fluent speech with play-based tasks)
  • Module 4 (fluent speech, adolescent and adult focused)

How the ADOS-2 can be completed fully online

For verbally fluent adults and children aged 10 and over, we can administer the ADOS-2 online, via a secure video link.

Module 4 does not involve play-based activities and is suitable for individuals who are past the developmental stage where play observation is required. This means it can be delivered entirely online, provided the session is set up correctly. We send clear guidance in advance to ensure this.

During the session, the clinician observes:

  • Communication style
  • Social interaction
  • Use of language
  • Repetitive or restricted behaviours

Eye contact cannot be directly scored online. All other elements of the Module 4 observation and scoring can be completed reliably.

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Is an online ADOS-2 as valid as an in-person assessment?

Yes, when the ADOS-2 Module 4 is appropriate.

Following the increased use of online assessments during the COVID-19 pandemic, research was conducted into the validity of online ADOS-2 administration.

In 2023, a large-scale study published by Cambridge University Press on behalf of the Royal College of Psychiatrists compared:

  • 163 online ADOS-2 assessments
  • 198 in-person ADOS-2 assessments

The findings showed:

  • No difference in total scores between online and in-person assessments
  • Similar communication scores across both groups
  • Clear differentiation between autistic and neurotypical individuals
  • Equal validity for male and female presentations

This research supports the use of online ADOS-2 Module 4 as part of a robust autism assessment.

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Additional online assessment sessions

Alongside the ADOS-2, we complete detailed diagnostic history interviews using one or more of the following tools:

  • Autism Diagnostic Interview – Revised (ADI-R)
  • Autism Clinical Interview for Adults (ACIA)
  • Ritvo Autism Asperger Diagnostic Scale Revised (RAADS-R)

These sessions are completed via video call or telephone and allow the assessment to be carried out from the comfort of your home.

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No clinic near you? Have your assessment at home

We have clinics across England and Wales, but you do not need to live near one. Wherever you live, in the UK or abroad, if you are aged 10 or over you can complete the whole assessment online, with no travel and no waiting room.
Prefer to be seen in person?
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Is an online autism assessment right for you?

For verbal individuals aged 10 and over, there is no clinical advantage to attending an assessment in person. Both options provide the same clinical robustness.

You may prefer an online assessment if

  • Attending unfamiliar environments is stressful
  • Travelling to a clinic is difficult
  • You feel more comfortable at home

You may prefer an in-person assessment if

  • Being on camera feels uncomfortable
  • You prefer face-to-face interaction
  • Your child is under 10, as play-based assessments must be done in person

Arranging a fully online private autism assessment

If you would like to arrange or discuss a fully online private autism assessment, please contact us. Our team will talk you through your options and help you decide what is right for you. You can also read about costs and waiting times and what happens during an assessment. 
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Frequently asked questions

Answers to common questions about our fully online autism assessments.