Assessment reports
You diagnose. Cogent drafts the report.
ADHD, autism, and combined assessment reports for adults and young people, drafted section by section from the findings, history, and measures you supply and structured around the clinical opinion you have already reached.
A neurodevelopmental report is a long, structured document that takes hours to write and follows the same shape every time.
That shape is exactly what a drafting tool can hold, so the hours go back to the clinical thinking. Cogent drafts ADHD, autism, and combined reports, each in an adult and a child or young-person version, from the material you already gathered during the assessment, one section at a time so a long report comes back whole.
Referral Context and Presenting Concerns
Referred by their GP with longstanding difficulties sustaining attention, organisation, and follow-through at work.
Background and Developmental Context
School reports note inattention and restlessness well before age 12, consistent with DSM-5-TR Criterion B.
Current Functioning and Strengths
A marked impact on time management, alongside a real strength in creative problem-solving that is named again later.
Assessment Process and Methodology
Two clinical interviews, a developmental history, and the standardised measures recorded below.
Behavioural Observations
Restlessness and frequent shifts of topic in the room, with full engagement once a task was made concrete.
Assessment Findings
The DIVA-5 and observer report converge on the inattentive and hyperactive-impulsive domains, with differentials weighed openly.
Clinical Formulation
The attentional profile is best understood alongside the anxiety that grew around repeated task failure.
Risk and Safeguarding
No active indicators, with an explicit safety pathway set out should difficulties escalate.
Diagnostic Conclusion
from your clinical opinionThe diagnostic statement you reached, carried through in your words.
Recommendations
Workplace adjustments, a medication pathway to discuss with the GP, and continued anxiety-focused work.
Feedback and Post-Assessment Planning
The outcome shared in a feedback session, with a written summary to follow.
Summary
A short account of the referral, the findings, and the conclusion.
NICE and Regulatory Alignment Statement
Conducted in line with NICE NG87, HCPC standards, and the Equality Act 2010.
The report is built around the clinical opinion you have reached.
Your opinion is a required input, and the diagnostic conclusion is yours to reach. Cogent organises the findings, history, and measures you supply into the report a reader expects, and it holds a hard line against inventing the parts you did not give it.
- 01
Your clinical opinion
The required input the whole report is structured around. You diagnose; the tool drafts around what you have concluded.
- 02
Reason for referral and history
The referral, the developmental and clinical history, and the interview content, in bullet points and shorthand if that is faster. For a child, that includes the parent or carer interview, the young person's own account, and the school or SENCo report.
- 03
Differentials and co-occurring conditions
What you considered and ruled in or out, and anything diagnosed or clinically suspected alongside the presentation.
- 04
Standardised measures
The measures you used, scored and carried into the findings. More on scoring below.
- 05
Collateral and observations
Who you spoke to and what you reviewed, and your own observations from the room.
Real names go in freely as you work; they are masked on your device before anything is sent for drafting. How de-identification works →
Where your inputs are thin, the report names the gap rather than filling it in.
This is the difference between a tool you can put your name to and one you cannot. Cogent will not infer a developmental history you did not take, will not move a collateral account into your own observations, and writes findings in the tentative register the work calls for, so a differential is described as most consistently explained by the evidence, not declared ruled out where the evidence does not carry it.
Every section a report needs, drafted in the order and shape a referrer, a GP, or a tribunal will look for.
| Section | What it holds |
|---|---|
| Referral Context and Presenting Concerns | Why the person was referred and what they came in worried about, in their words and the referrer's. |
| Background and Developmental Context | Developmental history from the interview and collateral. For ADHD this is where evidence of symptoms before age 12 belongs, the DSM-5-TR criterion, if you documented it. |
| Current Functioning and Strengths | Functioning across the domains that matter, with named strengths that are then carried by name into the formulation and recommendations rather than left as a generic line. |
| Assessment Process and Methodology | What the assessment actually involved, the appointments, interviews, and measures used. |
| Behavioural Observations | Only what you observed in the room across the appointments. Nothing inferred, and nothing imported from collateral informants, which belongs earlier. |
| Assessment Findings | The evidence laid out, with an explicit differential-considerations subsection naming what was weighed and the current view on each. |
| Clinical Formulation | How the picture fits together for this individual, with the named strengths appearing as protective factors and co-occurring patterns described in how the condition shapes them. |
| Risk and Safeguarding | Risk as you assessed it, ending with an explicit safety pathway, who monitors what and what to do if things escalate, included even when current risk is low. |
| Diagnostic Conclusion | Your conclusion, in your words. You reach it; the report states it. |
| Recommendations | Drawn from the findings and the named strengths, practical and specific to this person. |
| Feedback and Post-Assessment Planning | How the outcome is shared, including age-appropriate feedback and preparation for a young person where that applies. |
| Summary | The report in brief, for the reader who needs the shape of it before the detail. |
| NICE and Regulatory Alignment Statement | A closing statement placing the assessment against the relevant NICE guidance. |
This is the adult ADHD structure. The child and young-person reports add a dedicated school and educational context section, and the combined report separates the diagnostic conclusion for each condition and adds a section on how the two interact.
The measures you used, scored and carried into the findings without being interpreted for you.
Enter the totals from the paper protocol and Cogent computes the headline score, the bands, and the subscale totals, then carries those numbers into the assessment findings so the same row is never typed twice. The arithmetic is the tool's; the interpretation is yours.
The measures psychologists reach for in neurodevelopmental work are built in, including ADI-R, ADOS-2, DIVA-5, CAARS-2, ASRS, RAADS-R, AQ-50, CAT-Q, BRIEF-2, AASP, RCADS, and the SDQ. On Professional you can also upload a completed questionnaire and have Cogent read the totals off it for you rather than keying them in, while the raw items stay on the paper protocol where the copyright keeps them.
A long report is assembled a section at a time, on the most capable model, so it comes back whole.
Rather than ask one model pass to write eight thousand words and risk it stopping mid-sentence, Cogent drafts each section as its own pass, running the independent ones together and letting the formulation and recommendations wait for the sections they build on. Neurodevelopmental reports use the premium model on the Professional tier. The draft opens in the workspace for you to edit and sign off, the same author-of-record model as everything else in Cogent.
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Start freeThis feature sits outside the registered Class I medical device, and we are precise about that.
Cogent Clinic is a registered Class I medical device for documentation drafting, where the tool reproduces and reformats what you have authored and contributes no clinical reasoning of its own. A neurodevelopmental report does more than that, so it is run as a separate, gated part of the app, outside the registered device. You remain the diagnostician and the author of record, and the same UK hosting, de-identification, and no-training-on-your-content protections apply.
Read the intended-purpose statement →