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NEUROLOGY CLINIC REFERRAL NEUROLOGY DIAGNOSTICS (INCLUDES EEG and EP) *MSXX* MSXX106260A New: March 2015 Page: 1 of 1 FAX to JPOCSC Central Intake (6049539701) PATIENT INFORMATION: Patient 's Name:.

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If you or a loved one has unexplained symptoms that could be related to the brain or nervous system, your doctor may recommend a neurological exam with a specialist. Neurologists are specialists who treat diseases of the brain and spinal cord, peripheral nerves and muscles.

A neurologist is a medical doctor with specialized training in diagnosing, treating, and managing disorders of the brain and nervous system including, but not limited to, Alzheimer's disease, amyotrophic lateral sclerosis (ALS), concussion, epilepsy, migraine, multiple sclerosis, Parkinson's disease, and stroke.

Your doctor might refer you to a neurologist if you're having symptoms that could be caused by a neurological condition, such as pain, memory loss, trouble with balance, or tremors. A neurologist can order specialized testing to help diagnose your condition.

You should have an urgent referral (usually within 2 weeks) for an MRI scan or CT scan of the brain if you are over 25 and you have new symptoms such as: headaches with feeling or being sick. personality or behaviour changes. fits (seizures) weakness on one side of your body.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232