Refer a Client | TrueCare Evaluations

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Clients are seen quickly — no 9-12 month wait

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Fast turnaround from testing to written report

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Available statewide across North Carolina

Client Referral Form

All fields marked with * are required. Client information is kept strictly confidential.

Your Information (Referring Provider)

Your Name *

Practice / Organization *

Your Email *

Your Phone

Provider Type *

Client Information

Client Name *

Date of Birth

Client Phone *

Client Email

Evaluation Details

Evaluation(s) Requested *

Autism Spectrum (ASD)

ADHD Evaluation

Psychoeducational Evaluation

Full Battery Assessment

ABA Recertification Evaluation

Urgency

Reason for Referral / Clinical Notes (optional)

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Thank you for referring to TrueCare Evaluations. We will reach out to within one business day to schedule their free consultation call.

Questions about a referral? Reach out directly.