Skip to main content

Now Taking Physician Referrals

Learn more about patient safety precautions, virtual visit options, and referring physician resources.

Consultation & Referral Services

Our specialists are here to assist community physicians and specialists with consultation and referral services. To refer a patient, please complete our online physician referral form and fax all related clinic notes and diagnostic reports to us. Once the form is completed, you will receive a return email confirming your referral and providing you with a referral tracking number in case you would like to follow-up or provide additional information at a later time.

The information submitted will be reviewed promptly to ensure that the proper neurologist evaluates each case, and the patient will be contacted about an appointment.

Contact Us:

Phone: 801-585-7575
Fax: 801-587-8113

Referring Physician Information

Would You Like To Request A Specific Provider?:

Patient Information

basic address
Has The Patient Had An MRI?:
Has The Patient Had An X-Rays:

Insurance Information

Secondary Insurance