Refer a Patient to for EMG/Nerve Conduction

To request an EMG/Nerve Conduction, 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:
Refer a Patient to Noran Neurological Clinic (335 KB PDF)

Make an Appointment:
Direct: 612.879.1500
Toll-free: 800.489.2719

Fax: 612.879.9116

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

Viewing Forms

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