Neurology E-Consult (No Video Visit)

Service-Line Information:

Our specialist physician will review your clinical information and summarize their clinical impression/recommendations. These can be shared with your Primary Care Provider.

This quick intake assessment will determine if you are a good candidate for telecare. If your care would be better suited to in-person, you will not be charged.

Disclaimer:

This service is for a second opinion or consult recommendations only. Teams by Beam Neurologists do not order labs or medication or provide ongoing follow-up care at this time.

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* 1. What is your full name?

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* 2. What is your primary phone number?

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* 3. Please provide your email address so we can reach out to you with any follow-up needs.

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* 4. What is your age?

Under 18

18 and Over

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* 5. Do you live and receive primary care in one of the following states?

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* 6. What is your current diagnosis that you would like our specialist to review?

Epilepsy/Seizure

TIA/Stroke

Multiple Sclerosis, NMOSD, MOGAD

Headaches (Migraine, Tension, Cluster)

Bell's Palsy

Trigeminal Neuralgia/Postherpetic Neuralgia

Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)

Abnormal MRI Brain

Other (please specify)

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* 7. Do you currently have a primary care provider? Our specialists do not write orders but will communicate with your PCP to help provide a recommendation.

Yes