Referral By Fax to the Adult

If this is a request for general neurological consultation, fax the referral form to 434-924-9068.

If this is a request for subspecialty neurological consultation, including a “second opinion,” please see below:

• For Stroke, Headache, and Neuromuscular Clinics, fax the referral form to 434-924-9068
• For MS, Movement Disorder, and Memory Disorder Clinics, fax the referral form to 434-982-0606
• For the Comprehensive Epilepsy Program and Pediatric Neurology Clinic, please FAX the referral form to 434-982-0606
• For the Neurophsychology and Pediatric clinics, please FAX the referral form to 434-928-1996

 

Please include pertinent records and a copy of the patient’s health insurance card with the FAX.

Please instruct the patient to bring hard copies of any pertinent neuroimaging to the appointment.

 

We may be reached at 434-924-2706 with any questions.

 

THANK YOU for your referral!