Schedule an appointment

All appointments are scheduled either online by filling out the form below, or by calling our Germantown office at (901) 405-0275. If you or your child has had previous tests or studies done related to the problem, please bring those records with you to the appointment or fax them to (901) 869-2903.

Read more about procedures if you or your child is scheduled to have one performed.

Please complete the following forms, if appropriate, before your appointment:

Cancellation Policy

Your appointment time is valuable and has been reserved specifically for you. If it is necessary to reschedule your appointment, please provide us with 24 hours notice. Otherwise a charge of $50 will be incurred.

Thank You,
Memphis Neurology

Schedule appointment form

Please fill out the following form, and we will call you back within 24 hours.

I want to

Name of patient *

Referring doctor

Whom should we contact? *

Phone number(s) we can call you back at *

When can we call you back? *

Which doctor would you like to see?

Do you want to be seen at particular clinic?

How soon do you want the appointment?

Who is the primary insurance with?

 

 

What is the reason for the appointment? *