Neurology Care · Local

How to refer a patient to a neurologist

To refer a patient to a neurologist, send the clinical question, the relevant history and examination findings, current medications, what has already been tried, and copies of pertinent results. A referral that states what you want answered is acted on faster than one that names a diagnosis to confirm.

Quick answer

To refer a patient to a neurologist, send the clinical question, the relevant history and examination findings, current medications, what has already been tried, and copies of pertinent results. A referral that states what you want answered is acted on faster than one that names a diagnosis to confirm.

What makes a referral useful

The most valuable line is the question. "Progressive distal sensory loss over eight months, diabetic, B12 normal, gabapentin ineffective at maximum tolerated dose, is this diabetic polyneuropathy or something else?" gives a neurologist somewhere to start. "Neuro eval" does not. Include what you have already excluded, because repeating your work wastes an appointment that the patient waited for.

What to attach

Current medication list with doses, recent relevant laboratory results, any imaging reports (the report matters more than the images for triage), prior neurology notes, and any previous electrodiagnostic or EEG studies. For episodic presentations, a witness account is worth more than most investigations.

Triage and expectations

Flag urgency explicitly if the presentation is progressing, and understand that genuinely acute presentations belong in an emergency department rather than an outpatient queue. CNS is an adult outpatient practice: patients must be 18 or older, and the practice performs no surgery and provides no inpatient or emergency care.

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 how to refer a patient to a neurologist

How do I refer a patient to a neurologist?
Send the clinical question, relevant history and examination findings, current medications with doses, what has already been tried and its effect, and copies of pertinent results. The practice referral form is available as a PDF, with a Spanish version for patients who need it.
What information does CNS need?
The question you want answered, symptom duration and distribution, comorbidities, medications, prior investigations and their results, and an explicit note if the presentation is progressing. For suspected seizures, a witness description is particularly valuable. Noting what you have already excluded is as useful as noting what you suspect, because it stops an appointment being spent repeating your workup.
When should I refer rather than manage in primary care?
When the diagnosis is unclear after initial workup, when first-line treatment has failed, when the presentation is progressive, or when electrodiagnostic or EEG assessment is needed. Acute severe presentations should go to an emergency department instead. Referring with a clear question and a documented trial of first-line treatment generally produces a more useful consultation than referring early with neither.
How quickly can patients be seen?
That varies with availability, so it is worth asking when you refer and flagging urgency if it applies. Patients who can attend either the Las Vegas or Henderson office, and who will see an advanced practice provider as well as a neurologist, are generally accommodated sooner.
Can I discuss a case before referring?
Yes. Call 702-804-1212 and ask to discuss a case with the clinical team. For borderline presentations that conversation often saves the patient an unnecessary appointment or redirects them to the right pathway faster. It also helps with borderline urgency, where the practical question is whether the patient can wait for an outpatient slot or should be sent to an emergency department today.

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.