Norfolk Autism Center does not perform diagnostic testing. We do require a formal autism diagnosis before starting ABA therapy. We are happy to share referrals to local diagnostic specialists in Hampton Roads. If you need referrals now, contact us.
Step 1: Developmental screening
Pediatricians screen for autism at 18 and 24 months during well visits. This follows guidance from the American Academy of Pediatrics. Learn more about screening at the CDC and AAP.
A common tool is the M-CHAT-R/F. Parents answer questions about play, pointing, and social response. See the official M-CHAT-R/F site.
Step 2: Comprehensive diagnostic evaluation
If screening raises concern, your child is referred for a full evaluation. This is done by specialists such as developmental pediatricians or child psychologists. The team reviews history, observes behavior, and uses standardized tools. The goal is to decide if your child meets DSM-5 criteria for Autism Spectrum Disorder. See the CDC’s overview of ASD diagnosis and DSM-5.
Common tools used
- ADOS-2. A structured play or conversation session that measures social communication and restricted behaviors. Read more from Mass General’s Lurie Center.
- ADI-R. A detailed caregiver interview on early development and current skills. See Children’s Hospital of Philadelphia’s ADI-R overview.
Evaluations often include speech and language testing, cognitive testing, hearing checks, and medical review. Some children are referred for genetic testing when clinically indicated. See summary guidance in American Family Physician.

Step 3: Results and next steps
Your clinician explains results and gives a written report. If ASD is diagnosed, the report lists strengths, support needs, and recommendations. Families can start therapy and request school supports.
Medical diagnosis vs school eligibility in Virginia
A medical diagnosis is not the same as special education eligibility. Schools run their own multidisciplinary evaluation under IDEA and Virginia rules. Learn how eligibility works at the Virginia Department of Education and the state’s page on Autism eligibility.
Where to get a diagnostic evaluation near Hampton Roads
- CHKD Autism Diagnostic Clinic for young children
- CHKD Developmental Pediatrics
- EVMS Psychiatry and Behavioral Sciences
We maintain an updated list of local referral options. Call us and we will match you to the right clinic.
How to prepare for testing
- Bring notes on milestones, language, play, and behavior at home
- Bring school reports, IEP or 504 plans, and therapy notes if you have them
- List medical history and medications
- Ask about waitlists and paperwork so you can start early
After diagnosis: How we can help
Once your child has a diagnosis, we can begin ABA services. Explore our services and parent resources. If you are still seeking a diagnosis, request referrals here: Contact Norfolk Autism Center.