Clear answers. Thoughtful care.
Comprehensive neuropsychological evaluation for complex medical, neurological, and neurodevelopmental conditions across the lifespan.
We provide careful, individualized assessment to help patients and referring providers understand cognitive
and functional concerns - and make informed next steps.
Why Neuropsychological Evaluation?
Neuropsychological evaluation is most useful when questions are complex. Many of the individuals we see have overlapping medical, neurological, developmental, and psychiatric factors that make symptoms difficult to interpret.
Our work integrates test data, medical history, developmental background, and real-world functioning to reach conclusions that are clinically meaningful and practically useful.
Contact our office by phone at (515) 220-2747 with referral information or questions about evaluations. Referrals can be faxed to (515) 335-0247. Our approach.
We understand that test results do not stand alone.
Assessments are tailored to the individual and referral question, not a fixed battery.
Results are interpreted in the context of medical history, developmental factors, and current symptoms, highlighting both strengths and limitations.
Recommendations are specific, realistic, and actionable—supporting diagnostic clarification, treatment planning, or daily functioning.
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We specialize in evaluation of adults with complex or overlapping presentations, including:
Neurological conditions across adulthood and aging
Medical illnesses that affect cognition
Brain injury and treatment-related cognitive change
Autism and ADHD in adults, including later-identified cases
Neurodevelopmental conditions complicated by medical or psychiatric factors
Cognitive concerns with unclear or mixed etiology
We typically work with adults ages 18 and older. Limited exceptions may be considered on a case by case basis.
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Evaluations begin with time to understand your concerns and history
Testing is selected for your specific needs
We are mindful of fatigue, health limitations, and sensory needs—breaks are built in, and testing pace is adjusted as required
Feedback is clear and actionable, with written recommendations tailored to your situation
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Neuropsychological evaluation can support:
Diagnostic clarification
Treatment planning
Functional assessment
Key Features:
Reports emphasize interpretation over test description
Recommendations are framed to support medical and psychiatric decision-making
Consultation regarding referral questions is welcome
Referral guidance and documentation instructions are available on the Referrals page.
Whether you are seeking answers for yourself or referring a patient
for diagnostic clarification, Two Rivers Neuropsychology provides
a structured & clinically grounded pathway forward.
For Patients and Families
If you are seeking clarity about memory, attention, learning, or other cognitive concerns, we begin with a structured screening process to determine whether neuropsychological evaluation is appropriate and what level of assessment is needed. Our approach is individualized, medically informed, and focused on helping you understand your cognitive strengths, challenges, and next steps.
For Referring Providers
We provide referral-based neuropsychological evaluation and consultation for complex diagnostic and functional questions across adulthood. Reports emphasize clinical interpretation and practical recommendations to support medical and psychiatric decision-making. Consultation regarding referral appropriateness and scope is welcome.
“Between the neuropsychological report you gave and the therapy provided, she was able to get the proper accommodations to excel in school and day to day activities.” — C.B.