Schedule A Case

Submitting a Schedule Form

Working man and woman in the officeNeuroLogic strives to provide convenience in our scheduling process by offering a variety of options. You may download and fill out the scheduling form, and submit it in any of the following ways:

  • Email:
  • Fax: 866-897-0799
  • Phone: 877-446-4945


For all options please provide the following information:

  • Date of Service
  • Start time of procedure
  • Surgical Procedure
  • Surgeon
  • Patient initials

Download Scheduling Form Here

For any questions or inquiries regarding these processes please contact us at 877-446-4945.

We look forward to working with you.


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