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For physicians, attorneys and case managers

Refer a patient. We’ll take it from there.

Everything a referring professional needs is on this page: how to refer, what our evaluation can include, and how to request records. Our New Patient Coordinator looks after your patient from the first call and keeps you informed.

Refer by fax
(866) 471-2949
Call
(310) 895-7122New Patient Coordinator, Monday to Friday, 8 am to 5 pm
Online
Send a referralThe form at the end of this page

Referring a patient

Physicians

Fax a referral to (866) 471-2949 with the patient’s demographics, insurance details and any relevant notes, or send us the patient’s contact details with the form below.

We’ll contact your patient, arrange a consultation, and check their insurance. With their permission, we’ll send you reports of any evaluation and treatment they have with us, so their care stays joined up.

Attorneys and case managers

After a brain injury or concussion, we offer a structured evaluation, clinician-reviewed documentation of what we find, and follow-up assessment over the course of care.

Patients with a personal injury claim can discuss arranging treatment on a lien basis with our team. Clinical recommendations are based on the patient’s needs; a lien may change payment and documentation arrangements, not the treatment prescribed. Our reports describe the patient’s evaluation, findings and treatment in clinical terms.

What happens after you refer

What the evaluation may include

Each evaluation is planned for the person in front of us, so it may include any of the following, as appropriate.

  • A clinical consultation

    History, current symptoms, prior treatment and goals, with our clinical team.

  • MRI

    Arranged at an imaging center near the patient, and used to plan neuro-navigated treatment.

  • Quantitative EEG (qEEG)

    A recording of the brain’s electrical activity, done in our clinic.

  • Standardized questionnaires

    Such as the PHQ-9, GAD-7, PCL-5 and the Rivermead Post-Concussion Symptoms Questionnaire, repeated during care to follow progress.

  • Dr. Liker’s review

    Our medical director reviews the findings and the treatment plan.

A sample report

A de-identified sample report is available on request, so you can see how we document an evaluation before you refer.

Request a sample report

Medical records requests

Send a signed authorization with your request, and tell us where the records should go.

Call
(310) 895-7122then option 4

Send a referral

This form shares your patient’s contact details with our New Patient Coordinator, who’ll take it from there. Clinical notes, imaging and records are best sent by fax to (866) 471-2949.

Prefer to talk it through first? Call (310) 895-7122, Monday to Friday.

If your patient is at risk of harming themselves, please don’t wait for us: they can call or text 988 any time, or call 911.

Referral

About you

Your role

About your patient

A line is enough, for example “depression, two medication trials” or “post-concussion symptoms”.

Please keep clinical details brief here; fax notes and records to (866) 471-2949.