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Available Forms

Add Link to Web Page AJB Use Only-Neurology Task AJBMD Video Room Notification AJBMD-Nurse Ready for Neurology Case Apractis Clinic Library Access Request Confirm Updox Login Family Available for Consult Info Now Family Contact Information General Neurology Request-with CCC contact Go To Assist Code Request NeuroDox--Create New User within Virtual Clinic NowDox-ED Neuro Triage Form NowDox-Nurse Ready for Neurology Case Nurse/Care Manager Secure Message for Andrew Barbash, MD Other Hospital or Facility Neurology Advice (Physician/Mid-Level Use Only) Patient/Family Caregiver Registration Patient/Family Caregiver Request Virtual Care Physicians/Mid-Levels Secure Message for Andrew Barbash, MD Podio Access Request Quick Mobile Secure Text for AJBMD Radiologist Report of Neuro Imaging Setup Zoom Room Notification Form ShareFile Secure Folders Registration SOC Consult Center Message for Dr Barbash TEST-Neuro 911-Acute Stroke TPA NOT likely TEST-Neuro 911-TPA Exclusion List TEST-Neuro 911-TPA Probable TESTING-General Neurology Request TESTING-Hospital Neurology Request-NeuroDox Form Updox Clinician Invite Request-General Neurology Updox Connect Request Updox Healthcare Professional Registration Updox User Login Request-SOC Physician VC-Colorado-Centura Teleneurology Message Form (Physician/Mid-Level Use Only) VC-Florida-(Physician/Mid-Level Use Only) VC-Holy Cross Clinics (first time user) VC-Holy Cross Clinics (Returning User) VC-Maine VC-Massachusetts-Neurology VC-Neurology-Curbside Advice VC-Neurology-Lake Norman Clinic VC-North Carolina VC-Virginia (Physician/Mid-Level Use Only) Virtual Care Primary Care Patient Registration Virtual Clinic HelpDesk Virtual Clinic-Request New Member Invite Request Entry to My Zoom Video Room-AJBMD Virtual Care Request (Physician/Mid-Level Use Only) Web Message for Dr Barbash
General Neurology Request-with CCC contact

General Neurology Team

THIS IS FOR USE ONLY BY PHYSICIANS RESPONSIBLE FOR THE PATIENT.S CARE. This is posted immediately into a secure team inbox. A Neurologist credentialed at your facility who is participating in this curbside advice service will contact you back.

A mobile number at which we can send an SMS Text Message Now
 

Hospital/Facility

This service is provided to hospitalists and other clinicians in one of the listed hospitals due to the workflow processes setup for general neurology. If you enter a name not listed we will still message you back.
 

Clinical Action Needed

Select all that apply
 

Clinical Details

 

Requested Specialist (if known)

Optional Fields

Please provide the email address you check most often if you have not used this service before and provided your email
 

For SOC Client Facilities

If your are contacting us from an SOC contracted facility and we do not respond within a reasonable time, please call 855-216-1075 and the Consult Coordination Center staff can register the case and connect you with one of the physicians on shift

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