When ordering electrodiagnostic testing, the referral is most useful when it states the clinical question rather than only the test name. Include the suspected localisation, symptom distribution and duration, relevant comorbidities, anticoagulant use and any implanted cardiac device, since each changes how the study is planned.
When ordering electrodiagnostic testing, the referral is most useful when it states the clinical question rather than only the test name. Include the suspected localisation, symptom distribution and duration, relevant comorbidities, anticoagulant use and any implanted cardiac device, since each changes how the study is planned.
"EMG/NCS bilateral upper extremities" tells the laboratory what to do but not what you are asking. "Rule out median neuropathy at the wrist versus C6 radiculopathy, right hand, six months, worse at night" lets the study be designed around the differential and extended intelligently if the first findings point elsewhere. At CNS the neurologist performing the study interprets it, so a stated question is acted on during the appointment.
Anticoagulation and antiplatelet therapy affect needle examination planning. An implanted pacemaker or defibrillator changes stimulation technique. Diabetes, thyroid disease, chemotherapy exposure, alcohol history and B12 status all shape the interpretation of a polyneuropathy pattern. Prior studies are valuable for comparison, so send them if they exist.
Electrodiagnostic changes take time to develop after an acute injury, so a study performed very early can be falsely reassuring; discuss timing rather than ordering reflexively. Both CNS laboratories hold AANEM accreditation independently, and all six in-office studies are available at either office. The practice performs no surgery and operates no imaging suite. A brief note on what happens after the study: the report goes back to the referring clinician with the impression stated in words rather than only as tables of numbers, and the neurologist is available to discuss a result that does not fit the clinical picture. That conversation is often more useful than a repeat study.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
The practice referral form is available as a PDF, and a Spanish version is available for patients who prefer it.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.