Providers have the option to refer patients to the TBI Outpatient Program or the Intensive Outpatient Program. See below for program-specific referral directions.

TBI Outpatient Program

The National Intrepid Center of Excellence's Referral Management Team will determine appropriate candidates for the TBI Outpatient Program upon reviewing referrals.

Inside the National Capital Region: Provider referrals may be entered directly into MHS GENESIS.

In MHS GENESIS:

• Under Referral Reason - write '6224 NICOE' and add request of service/evaluation
• Under Medical Services - select 'Brain Injury Medicine'
• Under Referral Order Type - select appropriate request
• Allow for 1-2 business days processing time. Patients can contact NICOE scheduling directly at 301-319-3710

• Outside the National Capital Region: For information about referrals to any NICoE program, the primary care provider should email the Referral Management Team. A team member will contact you to follow up on your request.

TBI Service Outpatient Eligibility

Must meet the following criteria:

• Department of Defense beneficiaries 18 and older diagnosed with a TBI
• Active referral from current Primary Care Manager

IOP Eligibility

IOP patients must meet the following criteria:

• Active duty
• Documented TBI history (mild, moderate)
• At least six months post injury
• Must have at least 12 months left on active duty from date of referral submission
• Symptoms that have been resistant to traditional treatments
• Referral from Primary Care Manager or Behavioral Health provider
• Must have completed NICoE’s comprehensive behavioral health evaluation within 30 days of referral submission

For any of the below please contact the NICoE POC: dha.bethesda.wrnmmc.list.wrnm-nicoe-referral@health.mil

• Less than 12 months post discharge from a prior TBI program
• Current legal/administrative issues that may impact ability to attend full program
• Recent or upcoming PCS
• Inpatient/hospital admission (medical/surgical/psychiatric/substance use) within the past 90 days

To refer a patient to the IOP

• Providers must enter a referral via the TBI Portal. If you do not have access to the portal, please email the Referral Management Team. 
• Complete NICoE’s comprehensive behavioral health evaluation form. This form can be found in the TBI Portal and should be completed by a licensed behavioral health provider.

Brain Fitness Center

Please contact your primary care provider or TBI coordinator if you are interested in participating in the Brain Fitness Center.