For Referring Providers

If you have a patient you would like us to see for an evaluation or for a neurodiagnostic appointment, please fax the following information to our office at 1-866-554-1903. We recommend using our New Patient Referral form.

For EMG/EEG:

• Patient’s name
• Patient’s phone number and address
• Patient’s insurance information
• Your office address, phone, and fax numbers
• Referral diagnosis/ question

For Clinic Evaluation/ Consultation:

• Patient’s name
• Patient’s phone number and address
• Patient’s insurance information
• Your office address, phone, and fax numbers
• Referral diagnosis/ question
• Pertinent medical records, including labs and imaging

Please feel free to call Dr. Vaught to discuss potential referrals.

We will contact the patient and make arrangements for the appointment.  If they have not heard from us, please confirm that the above information has been sent and ask them to contact our office directly.