Clinical Services

Two Rivers Neuropsychology provides neuropsychological evaluation and consultation for adults with complex cognitive, medical, and neurodevelopmental questions.

All evaluations are tailored to the specific clinical question. Our goal is to provide diagnostic clarity and actionable recommendations, grounded in current science.

We do not provide emergency services, ongoing psychotherapy, cognitive remediation, forensic evaluations, or accommodation letters without documented functional impairment.

For more information about patient services or referring provider guidance, please expand the sections below.

For Patients & Families

All inquiries begin with a brief structured screening call to ensure evaluation is clinically indicated and to determine the appropriate service tier.

Overview

Service Tiers & Further Details

    • Focused, targeted evaluation for a specific diagnostic question

    • Includes structured interview, targeted screening, written summary

    • Efficient option when full evaluation is not required

    • Designed for complex diagnostic questions

    • Includes clinical interview, standardized testing, integrated report, and feedback

    • Appropriate when multiple conditions, neurological/medical factors, or functional impact exist

    • Unexplained cognitive or functional changes

    • Persistent diagnostic uncertainty

    • Cognitive issues affecting treatment, daily life, or decision-making

    • Symptoms involving neurodevelopmental, neurological, medical, psychiatric, or combined factors

    • Not for emergency/ crisis situations

    • No emotional support animal letters or one-size-fits-all testing packages

    • Referral required for structured intakes

    • Complete the screening form on the Contact page or call the office at (515) 220-2747

    • The intake process helps us to determine appropriate scheduling and service tier

For Referring Providers

Referral Overview

We welcome referrals from health care providers, specialists, licensed mental health providers, schools, attorneys, and other qualified professionals

Service Tiers & Further Details

    • Appropriate for focused diagnostic clarification

    • Supports second opinions or screening-level evaluation

    • Appropriate for complex or multi-factorial cases

    • Provides detailed report, functional interpretation, and recommendations

  • Consider referral when:

    • Cognitive complaints persist despite treatment

    • Functional changes impact daily life, work, or academic performance

    • Symptom patterns are inconsistent or overlapping

    • Decisions require clarification of neurodevelopmental, medical, neurological, or psychiatric contributors

    • Reports shared securely with referring providers

    • Consultation may occur before, during, or after evaluation

    • Designed to integrate neuropsychological findings into ongoing care

    • Referral documentation should be submitted securely

    • Insurance coverage and authorization requirements are confirmed before scheduling

    • Structured intake call will clarify the evaluation type and pathway

    • What factors contribute to this patient’s cognitive or functional profile?

    • Are observed difficulties consistent with a neurodevelopmental condition, acquired injury, medical illness, or psychiatric factors?

    • What supports or accommodations may improve function or treatment engagement?

    • Visit the Referrals page for detailed instructions on submission

    • Contact the office for clarification on insurance or administrative questions

Referral Forms

Consultation with Referring Providers

Consultation is a core component of our practice and is aligned with the collaborative referral process outlined on the Referrals page. With appropriate authorization, written reports are shared with referring providers.

We collaborate with referring providers to:

  • Clarify referral questions prior to evaluation

  • Integrate neuropsychological findings into ongoing care

  • Discuss diagnostic impressions, limitations, and recommendations

Consultation may occur before, during, or after an evaluation and is focused on supporting continuity of care within an outpatient healthcare setting.

Population Served

We primarily serve individuals from early adulthood through older adulthood, consistent with our referral guidelines.

Exceptions for adolescents ages 16–17 may be considered on a case-by-case basis in consultation with referring providers, depending on referral needs and clinical fit.

Scope of Practice

Our services are limited to evaluation and consultation for healthcare purposes within an outpatient setting. We do not provide emergency services, psychotherapy, medication management, or forensic evaluations. We do not provide ongoing psychotherapy, cognitive remediation programs, or forensic evaluations.

Recommendations are intended to inform treatment planning, accommodations, or next clinical steps. They are based on information available at the time of evaluation and are not guarantees of specific outcomes.

Next Steps

This practice does not provide emergency services. In the event of urgent safety concerns, individuals should contact emergency services or appropriate crisis resources in their area.

Referring providers:
Visit the Referrals page for guidance on referral questions, submission, and consultation.

Patients:
Visit the Patients page for information about the patient portal, appointments, billing, telehealth, and secure communication.

For information regarding fees, insurance participation, and payment structure, please see Financial Policies & Common Questions.

For questions about referral appropriateness, please visit the Referrals page or contact our office.