College of Education, Health and Human Sciences Center for Rehabilitation and Employment Research
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Contact Us

Dan Lustig, Ph.D., Director

University of Memphis
113 Patterson Hall
901.678.2731 (P)
901.678.3215 (F)
Memphis, TN 38152

Forms

  • To refer someone for a Comprehensive Vocational Evaluation, Psychological Evaluation or Assistive Technology Evaluation, please complete the Evaluation Referral Form below.

    DRS Evaluation Referral Form - (Vocational, Psychological and Assistive Technology)

  • In addition to this form, if you are requesting an assistive technology evaluation please complete the Assistive Technology Supplemental (To refer someone for an Assistive Technology Evaluation we require both forms be completed)

    Assistive Technology Evaluation Supplemental Information for DRS Referral Form

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Last Updated: 2/1/12