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Fast neurology referral

A neurology referral moves faster when it states the clinical question, flags urgency explicitly, and lists what has already been tried. From the patient side, being flexible about which office and which clinician you see is the single most effective thing you can offer.

Quick answer

A neurology referral moves faster when it states the clinical question, flags urgency explicitly, and lists what has already been tried. From the patient side, being flexible about which office and which clinician you see is the single most effective thing you can offer.

What actually moves a referral up

Three things, in order. An explicit urgency flag with the reason, because "progressive weakness over three weeks" is triaged differently from "numbness". A stated clinical question rather than a test name. And completeness, since a referral missing the medication list or the results already obtained often has to go back before it can be scheduled.

What patients can do

Say you will attend either the Las Vegas or the Henderson office, say you will see an advanced practice provider as well as a neurologist, and accept a short-notice cancellation slot. Those three together open far more appointments than calling repeatedly does. Four advanced practice providers work alongside the five board-certified neurologists within one shared record.

What a fast referral is not for

Genuinely acute presentations do not belong in an outpatient queue however fast it moves. Sudden weakness, new speech difficulty, sudden vision loss, a first seizure or the worst headache of someone's life need an emergency department the same day. Sending those to clinic delays the care that would help.

About this practice

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.

Emergency & crisis resources: Clinical Neurology Specialists is not an emergency service. For stroke symptoms, a seizure lasting more than five minutes or any medical emergency, call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988 (Suicide & Crisis Lifeline).

Frequently asked

Questions about fast neurology referral

How do I get a faster neurology referral?
Have the referring clinician state the clinical question and flag urgency with a reason, and include the medication list and results already obtained. On your side, offer flexibility on office, clinician and short-notice slots. Completeness matters as much as urgency: a referral missing the medication list or prior results often has to go back before it can be scheduled at all.
Does calling repeatedly help?
Not usually. What changes the answer is new information or new flexibility, not repetition. One call in which you say you can attend either office at short notice achieves more than several asking the same question. Asking to be added to a cancellation list, and confirming you can reach either office at short notice, is the version of persistence that works.
Will seeing an advanced practice provider slow things down?
No, generally the opposite. The four advanced practice providers work within the same practice and the same record as the neurologists, not as a separate tier. For many presentations the initial assessment and the ordering of testing proceed identically. If the case later needs a neurologist's direct input, that happens within the same practice and the same record rather than as a new referral.
What counts as urgent enough to flag?
Progressive weakness, rapidly worsening symptoms, new neurological deficit that is not resolving, or a suspected first seizure that has already been assessed acutely. Flag it with the reason rather than the word alone, since the reason is what allows proper triage.
What if it is an emergency?
Then it is not a referral question. Sudden severe symptoms need an emergency department or 911 the same day. An expedited outpatient appointment is still an outpatient appointment. Sudden weakness, new speech difficulty, sudden vision loss, a first seizure or the worst headache of someone's life all belong in an emergency department the same day. Routing them to clinic delays the treatment that would help.

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.

Next step

Speak to a board-certified neurologist

Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.