Visitor Monitoring

Refer a Patient for EEG or Evoked Potential

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.

Online Request:
Refer a Patient to Noran Neurological Clinic

Downloadable Form:
Request for Consultation Form, Consult, EMG Referral (335 KB PDF)

Make an Appointment:
Direct: 612.879.1500
In-state: 800.489.2719
Toll-free: 800.328.9713

Fax: 612.879.9116

Thank you for your referral. At Noran Neurological Clinic, we are committed to providing patients with the highest quality care.