Refer a Patient: Epilepsy Center

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1. Gather required documents

• Referral form

  Download referral form

• The reason for the referral
• Whether you're requesting a clinic evaluation or admission to the inpatient video EEG monitoring unit
• All pertinent recent clinical information, including results of EEG, MRI and other imaging, if available

Reasons for Referrals (examples)

This list is by no means complete. There are many other possible reasons.

Patients may be referred for:

• Consultation for new-onset seizure disorders
• Consultation regarding diagnosis of seizure when questions are present
• Second opinions
• Refractory epilepsy

Patients may be referred for direct admission to inpatient video EEG monitoring if they:

• Require diagnostic seizure monitoring for characterization and localization of spells or seizures
• Require extended diagnostic testing for known epilepsy
• May be candidates for epilepsy surgery

2. Send everything to us

Fax

(415) 353-2837

Have questions?

General questions about referrals

Call Kathleen Yumul
(415) 502-2219

Questions about epilepsy surgery

Call Maritza Lopez
(415) 353-2934

or Marianne Ward
(415) 353-2347