Referrals

We welcome referrals from physicians and other qualified healthcare professionals seeking specialized, evidence-based neuropsychological assessment grounded in precision, compassion, and clinical resilience for adults and older adolescents.

Our practice focuses on complex clinical presentations, including neurodevelopmental, neurodegenerative, and medically complicated conditions, with an emphasis on careful differential diagnosis and clinically actionable conclusions.

We primarily evaluate adults aged 18 and older. Referrals for adolescents aged 16–17 are considered on a case-by-case basis when clinically appropriate.

Secure Referral Form

Two Rivers Neuropsychology

Clear answers. Thoughtful care.

Thank you for your referral. This secure form is intended for licensed healthcare professionals referring a patient for outpatient neuropsychological evaluation.

Patients seeking services should use the Contact page for general inquiries.

Please provide concise information necessary to determine referral appropriateness. Do not include psychotherapy notes or extensive narrative history.

This practice does not provide emergency evaluation. Ensure crisis stabilization prior to referral when indicated.

Alternative Ways to Submit a Referral

To initiate a referral, please submit:

  • Completed neuropsychological referral form

  • Relevant clinical records, including prior evaluations, treatment notes, neuroimaging, laboratory data, or hospital records when applicable

  • Insurance information, if available

Referral forms and supporting documentation may be submitted online or via secure fax at (515) 335-0247 or secure email at info@tworiversneuropsych.com, consistent with HIPAA requirements.

Clear referral questions and comprehensive records help prevent delays and allow for appropriate determination of testing scope.

If you need assistance obtaining or submitting referral materials, our office is available to help.

Referral Process

Our referral process is designed to be clear, collaborative, and respectful of both patient and provider time:

Submit a referral

1

Submit a referral online, via email, or fax.

Clinical and insurance review

2

Our team reviews the referral for clinical appropriateness, testing scope, and payer requirements.

Our billing manager contacts the patient directly to discuss benefits, anticipated out-of-pocket costs, advance payments, and scheduling logistics.

3

Patient outreach

Scheduling

4

The evaluation is scheduled with the patient for in person appointments. Telehealth appointments are available as needed and appropriate.

Comprehensive testing is completed, followed by a detailed written report.

5

Assessment and reporting

Results are reviewed with the patients and, with appropriate authorization, shared with the referring provider.

6

Feedback and coordination

Throughout this process, we prioritize administrative clarity, thoughtful patient communication, and clinical continuity for referring providers.

Referral Guidelines

Neuropsychological evaluation is most effective when guided by a clearly articulated clinical question and relevant medical context. This practice specializes in precise, evidence-based assessment of:

  • Neurodevelopmental conditions (e.g., ADHD, autism spectrum conditions in adults)

  • Neurodegenerative disorders (e.g., Alzheimer’s disease, Parkinson’s disease, multiple sclerosis)

  • Cognitive changes associated with complex medical conditions (e.g., autoimmune, cardiovascular, oncologic, or systemic illness)

  • Acquired brain injury when relevant medical documentation is available

  • Diagnostic clarification, prognosis, and treatment planning within a healthcare context

When referring, please include:

  • Specific referral questions or diagnostic concerns

  • Pertinent medical, neurological, psychiatric, developmental, and educational history

  • Documentation of psychiatric or substance-use stability when relevant

This practice provides evaluations solely for healthcare treatment purposes, with recommendations intended to support medical decision-making, functional planning, and patient resilience. At present, we do not conduct forensic evaluations, disability determinations, workers’ compensation evaluations, or litigation-related assessments. We do not provide psychotherapy, medication management, or emergency services.

Frequently Asked Questions

  • Insurance participation varies by plan and service type. Benefits are verified prior to scheduling, and patients are informed of expected costs before proceeding.

  • Wait times vary depending on referral type and clinical urgency. Our office can provide current scheduling estimates at the time of referral.

  • Yes. With a signed authorization, a comprehensive written report is sent to the referring provider, and we are available for follow-up consultation as needed.

  • Professional consultation is welcome. Please contact our office if you would like to discuss referral appropriateness or clarify diagnostic questions prior to submission.

For information your patients may ask about fees or insurance participation, please direct them to our Financial Policies & Common Questions page. For referral questions or assistance, please contact our office. We value collaboration and appreciate the opportunity to support your patients’ care.