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Referral Form for Vision & Neurological Evaluation

We appreciate your trust in our expertise. To refer a patient for a vision and neurological evaluation, please download the referral form below and fax the completed form to 208-793-8220 or email at info@divergeperformance.com.

Our specialized assessments provide valuable insights into visual processing, concussion-related vision issues, and neurological rehabilitation. Once we receive the referral, we will coordinate directly with the patient to schedule an evaluation and ensure that all findings are shared with your office.

For any questions or to discuss a case, please contact us directly 208-999-0408. We look forward to collaborating with you in optimizing patient care!