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 or neurosurgeon evaluates each case, and the patient will be contacted about an appointment.

Contact Us:

Phone: 801-585-6065
Fax: 801-585-6087

Referring Provider Information

Patient Information

Insurance Information

Secondary Insurance

Or Call 801-585-6065