To request an EEG or Evoked Potential, please download or complete the form below, noting the type of test requested. This form gives us valuable information regarding your patient's history and symptoms. However, it is still necessary for you or your patient to call to schedule an appointment.
Refer a Patient to Noran Neurological Clinic
Request for Consultation Form, Consult, EMG Referral (335 KB PDF)
Make an Appointment:
Thank you for your referral. At Noran Neurological Clinic, we are committed to providing patients with the highest quality care.