If you are a physician who has a patient you would like to refer to one of our physicians for specialized diagnosis or treatment, please download, print, and complete the New Patient Referral Form from the link below. When you have completed and signed the form, fax it to the appropriate department (see the fax numbers on the form) and keep the form for your own records.
The physician to whom you are referring the patient will schedule an appointment and fax the form back to you. It is your responsibility to notify the patient of the appointment time and date.Download the New Patient Referral Form
Thank you for choosing Tallahassee Neurological Clinic; you have chosen the best care for your patient. If you have any questions about this procedure or about TNC, please contact us.