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Appointment Information for Patients

When is referral from your doctor appropriate?

Referrals are typically made to diagnose or rule out disease conditions of the brain. This information also helps to describe an identified condition’s impact on a patient’s daily functioning. Examples include traumatic brain injury, epilepsy, Parkinson’s disease, multiple sclerosis, brain tumor, stroke, Alzheimer’s disease and other types of dementia. The information gathered during this assessment will go to your doctor, who will use this information to make decisions regarding your health care.

Some conditions cause patients to experience memory and thinking difficulties over time, such as Alzheimer’s disease, multiple sclerosis, etc. If these types of conditions are diagnosed or suspected, a baseline evaluation with follow-up (usually yearly) may be useful in interpreting possible changes in one’s disease condition. Neurocognitive/neuropsychological testing is also beneficial in tracking progress for patients undergoing rehabilitation and/or to evaluate how effective a certain treatment is for them. Neurocognitive/neuropsychological testing can help in planning educational and vocational programs, such as IEP, 504, as well. Testing can also assist in disability determination or for forensic (medical-legal) uses.

When should I think about having a neurocognitive evaluation?

The types of difficulties that might indicate the need for an evaluation include:

  • Memory loss
  • Difficulty communicating, or getting words out and/or understanding others
  • Attention and concentration problems
  • Difficulty planning and organizing
  • Changes in spatial skills or visual perception
  • Difficulty reading or writing
  • Disturbed thinking or confusion
  • Increased impulsivity
  • Slowed thinking speed

Talk to your doctor if you have any symptoms mentioned above.

Testing Process

During your visit, you will meet with the neuropsychologist.  The doctor will ask about your medical history and the specific concerns that brought you to this clinic.  The doctor will often spend additional time talking to your spouse, parent, child, or other family members who accompany you.  You will spend the majority of your appointment working with a psychometrist, who will do the testing with you.  You may be asked to answer questions, read, write or draw.  You may also complete measures that will help the doctor understand how your illness or injury affects your mood, your personality, or your coping skills.  During the tests, your family members or friends will be asked to wait in the lobby area. 

Nature of Neurocognitive Tests

Unlike the tests you have taken in school, neurocognitive tests do not give you a “pass” or “fail” grade.  We will simply ask that you do your best on all of the tests that are presented to you.  This will allow us to gather accurate results that best represent how you function in your daily life.  Information gathered from these tests help your doctor to know your individual strengths and weaknesses, and provide recommendations for your future care.

Results

Once testing is complete, the neuropsychologist will examine the results.  If there has been previous testing, those scores will be compared to the new results.  The neuropsychologist will write a report describing the findings and conclusions.  The report will be sent to the doctor who referred you within one to three weeks for full evaluation and quicker for a disease specific screen.  Please call your doctor for the results. 

Appointment Checklist

  • To ensure as many people as possible are allowed appointments, it is very important that patients inform the clinic if they are unable to keep their scheduled appointment.
  • It is also very important to check with your insurance carrier about coverage.  Contact your insurance and ask if your policy covers neurocognitive/neuropsychological testing.
  • If a referral is needed by the insurance company, you will need to contact the referring doctor and have him/her send this form to your insurance company.
  • If you have any questions, please call the UK Neurocognitive Diagnostic Service at (859) 323-5661.

 

 

Page last updated: 11/4/2013 2:55:40 PM