Referring Patients for Neuropsychological Evaluation

Two Rivers Neuropsychology provides adolescent and adult neuropsychological evaluation in the Des Moines area. Referrals are welcomed from physicians, therapists, and other healthcare professionals seeking diagnostic clarification or detailed assessment of cognitive functioning.

Evaluations integrate clinical interview, standardized neuropsychological testing, and careful interpretation of results to assist with diagnosis and treatment planning.

Common reasons for referral include:

  • diagnostic clarification involving ADHD or autism spectrum characteristics

  • evaluation of memory or cognitive concerns

  • assessment of attention or executive functioning difficulties

  • cognitive symptoms associated with medical or neurological conditions

How to Refer

Referrals may be made by secure fax at (515) 335-0247 or through secure transmission of clinical information using the online form below.

Providers may also contact the practice by phone at (515) 220-2747 to discuss whether neuropsychological evaluation would be helpful in a particular case.

Common Referral Questions

Common Reasons for Neuropsychological Referral

  • Diagnostic clarification involving ADHD, autism spectrum characteristics, or complex psychiatric presentations

  • Assessment of memory or cognitive concerns

  • Evaluation of attention, executive functioning, or learning difficulties in adults

  • Cognitive concerns associated with medical or neurological conditions

  • Clarification of cognitive functioning to inform treatment planning

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.

What Referring Providers Receive

Referring providers receive a comprehensive report summarizing relevant history, test findings, diagnostic impressions, and practical recommendations. Reports emphasize clinical interpretation and treatment implications, and are intended to support ongoing care and collaborative treatment planning.

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 for Referring Providers

  • 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.

Two Rivers Neuropsychology is located in Johnston, Iowa, and serves patients from across the Des Moines metropolitan and surrounding areas.