Angels Neurological Centers
Outstanding neurologists near you
About us
Current locations
Request Inpatient Consult
Make Office Appointment
Request Inpatient EEG
Contact us by email
Patient Registration Form
Angels Hospitalists
Sign up for email updates
Positions Available
Use the form below to schedule an ELECTIVE EEG in the hospitals we service:
DO NOT USE FOR EMERGENCY EEG’s
Patient’s First Name:
Patient’s Last Name:
DOB:
Ordering doctor:
Diagnosis for Inpatient EEG
What hospital is the patient currently in?
What floor?
Hospital nursing station phone number:
Name of person entering info:
