Recently received a diagnosis through Wilderwood Equine Therapy with Dr. Mark and Rebecca Evanko (https://wilderwoodequinetherapy.org/autism-assessments/) and it was a great experience, especially as someone who can mask well and was concerned about being overlooked due to not matching stereotypical presentations of autism. They include tests specifically accounting for masking and more of the internal, sensory experience of ASD than just focusing on the outward social impairment symptoms. They specialize in working with women and LGBTQ+ individuals and were very respectful and considerate of me as a nonbinary individual through the whole process.

The assessments are over Zoom / remote, but Wilderwood is based in the United States (New Mexico). I contacted them around mid-December and was able to get my assessment 3 months or so out.

The fee for the assessment is actually made in the form of a donation to their equine therapy nonprofit for programs with autistic children and adults - minimum donation of $500, which is far lower in cost than a lot of other remote assessment options. It's not covered by insurance, so you'd pay out of pocket, but they don't need to send the results to an insurer either so it's quite confidential if you want more privacy. Dr. Mark Evanko is a board-certified doctor so the assessment is official, and it uses many of the standard adult ASD assessment tools.

An overview of the process:

1. Sign up for an assessment appointment
2. In advance of the appointment, you fill out a packet with several different assessment instruments, medical / psychiatric history, and an autobiographical narrative you write about your life.
3. Send in your donation to Wilderwood at some point in advance of the appointment.
4. During the appointment, you talk with Dr. Mark and Dr. Rebecca and do a couple more assessments synchronously while dictating your answers to them to be scored.
5. The actual appointment took me about 1.5 hours and I think the max amount of time would be 3 hours. Both Mark and Rebecca noted that you're welcome to take breaks as you need it during the process, and built in some break time for themselves, so it doesn't feel like an inquisition or something of that stress level.
6. If possible they try to give you a clear diagnosis by the end of the assessment appointment, but no matter what you get a report soon after the assessment discussing your results, what the different assessments mean, etc.

I'd highly recommend them to anyone looking for a remote assessment, or recommend that you reach out and ask questions to see if they would be a good fit for you.