To request a consultation from one of the neurologists at Noran Clinic, please download and fill out the Request for Consultation Form below. This form gives us valuable information for your patients upcoming visit.
If you would like the patient to see a specific neurologist, please indicate that on the form and to our scheduling staff so that we can best meet your needs. If you have any special instructions for your patient's visit to Noran Clinic, please ask to speak with the neurologist's nurse or secretary.
Online Referral Form:
Refer for Neurological Consultation, EMG, or Sleep Consultation (Electronic)
Downloadable Referral Form:
Request for Neurological Consultation, EMG, or Sleep Consultation Form (335 KB PDF, Printable)
To send copies of medical records for a patient's upcoming appointment, please use the following form:
Submit Copies of Medical Records
Make an Appointment:
Thank you for your referral. At Noran Clinic, we are committed to providing patients with the highest quality of care.