To request a consultation from one of the neurologists at Noran Clinic, please download and fill out the Request for Consultation Form below or submit an Online Request for Consultation. This form gives us valuable information for your patients upcoming visit. If you are submitting a request via fax, it is still necessary for you or your patient to call 612.879.1500 or 800.489.2719 to schedule an appointment. For Online Requests we will contact your patient to schedule an appointment.
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.
Request for Consultation or EMG Referral
Request for Consultation Form, Consult or EMG Referral (335 KB PDF)
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.