• Neurology (The Blue Bird Circle Clinic)

    To refer your pediatric patient to Neurology (The Blue Bird Circle Clinic), please complete the following steps.

    Physician Referral Required

    • Step 1: Download Form

      PDF Referral - Orange

      Download and complete the following form

      Neurology Referral Form ›

    • Step 2: Fax Form

      Fax Referral - Purple

      Fax your completed form to:
    • Step 3: Review and Schedule

      Phone Referral - Green

      After the referral is reviewed, a representative will call the patient to make an appointment.

    If you have questions, please call this clinic directly at 832-822-1099. 

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