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We appreciate the referrals that come to us from physicians and other health care providors.  Our goal is to make the referral process as seamless as possible.  

Please utilize our referral form.  We will contact the patient and notify your office when the appointment is scheduled.


If you need an urgent consult, please indicate this on the referral form with the proper notation or call our office directly.


To request a neurology consultation, electroencephalogram (EEG), or electromyogram (EMG), please call (479) 880-0101 and a clinic staff member will schedule an appointment for you.


To make a patient referral by fax, download and complete the appropriate form below.  


Then fax the form, patient medical records, and face sheet to our fax line:
(479) 880-0118.


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