Submit Your Referral

Easily refer a patient, student, or athlete to TestTBI for expert evaluation and testing. Our team will follow up with next steps and appointment options.

Download Form

Step 1. Print and Complete

Download and/or print our provided referral form for completion.

Download (PDF)

Step 2. Submit Form

Once you have completed the referral form, send it to us by one of the following secure methods:

Send by Email

Referrals@TestTBI.com

All referrals sent by email are handled securely and reviewed by a qualified provider.

Send by Fax

(877) 671-0945

Faxed referrals are processed promptly and securely by our intake team.

Every Case Deserves Clarity

Whether you're a provider, attorney, or individual, we help you move forward with confidence.