You are usually referred to a neurologist because a symptom needs a more detailed assessment than primary care can provide, because a diagnosis is unclear, because initial treatment has not worked, or because specialist testing such as EMG or EEG is needed to localise the problem.
You are usually referred to a neurologist because a symptom needs a more detailed assessment than primary care can provide, because a diagnosis is unclear, because initial treatment has not worked, or because specialist testing such as EMG or EEG is needed to localise the problem.
Diagnostic uncertainty, where the picture does not fit a straightforward pattern after initial assessment. Treatment failure, where an adequate trial of first-line therapy has not helped. Progression, where the trajectory itself is the concern regardless of current severity. And the need for specialist testing, since electrodiagnostic studies and EEG answer questions that history, examination and imaging cannot. Most referrals fall into one of those four.
This is worth stating plainly, because many people arrive assuming the referral itself means something serious has been found. It does not. It means a question needs answering by someone who deals with these problems daily. A large proportion of neurology appointments end with reassurance, a straightforward diagnosis, or the identification of something entirely treatable such as a medication effect, a vitamin deficiency or a nerve compression.
Bring a written symptom record rather than relying on memory, since accurate frequency and timing are the details most often underestimated and the ones that most change the plan. Bring a complete medication list including over-the-counter items and supplements. Bring previous test reports. If the problem is episodic and anyone has witnessed an episode, their account is frequently more valuable than any investigation.
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.
Sources and further reading: American Academy of Neurology; MedlinePlus, National Library of Medicine; National Institute of Neurological Disorders and Stroke.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.