Referral Guide for Providers (PDF + Page)

Who this is for: Written for providers and front-desk staff making a referral for mobile concussion testing.

The referral in four steps

First, identify an accident patient with ongoing symptoms that may reflect a head injury. Second, complete the referral form with the patient's details, injury information and symptoms. Third, our team confirms receipt and schedules a testing day at your office. Fourth, after a neurologist interprets the report, review your copy when it arrives, typically within 48 hours or typically 7–10 days with labs, and decide next steps with your patient.

Strong symptom documentation is the single biggest factor in a useful report.

Identifying candidates

Use a short symptom screen at intake and at re-exams, asking about headache, dizziness, nausea, vision changes, light or noise sensitivity, concentration, memory, mood and sleep. Consider referral when symptoms persist beyond the first weeks, worsen, interfere with work, school or driving, or are reported by family members. A normal ER CT does not rule out a referral when functional symptoms persist.

What to put on the referral

• Patient name, date of birth, phone number and preferred language
• Date and mechanism of injury
• Whether the head was struck, any loss of consciousness or memory gap, and any ER visit or imaging
• Current symptoms with severity ratings and how they have changed
• Relevant history: prior concussions, migraines, ADHD, learning differences, psychiatric conditions and current medications

Attach recent notes if available.

Related in this series: What Paperwork Is Needed to Refer a Patient for TBI Testing, When to Refer for Concussion Testing: A Provider Checklist and How a Mobile Testing Day Works at Your Practice. For the full overview, start with our guide, Provider Guide to TBI Testing.

Sending it securely

Use the secure referral form at /referral, or the method our team provides during onboarding. Please do not email protected health information unencrypted. Questions: 813-709-3771.

Tired, hungry or unprepared patients can produce less reliable results.

Telling the patient

Explain that you are arranging non-invasive tests at your office to see how their brain is functioning since the accident, that a neurologist will interpret the results and that you will go over your copy together. Give them the preparation checklist a few days ahead, because tired, hungry or unprepared patients can produce less reliable results.

After the report

Review the neurologist's interpretation, discuss the findings with your patient, decide on your plan of care and request specialty coordination if needed. We diagnose. You treat.

Common referral mistakes

The most frequent gaps are a missing mechanism or date of injury, symptoms without severity ratings, outdated phone numbers and missing history of prior concussions or neurological conditions. A quick check prevents delays.