TESTING--Acute/Subacute Stroke but TPA NOT likely
The purpose of this form is to help a hospital based physician to quickly inform a remote specialty service about a patient with a suspected stroke, for whom prompt evaluation will still be helpful, but for whom TPA is NOT anticipated. Use this form if you have an acute stroke case that you are pretty certain is NOT likely to get TPA" based on the data and information you have. Do NOT use this form for "Possible or Probable TPA candidate" If any of these boxes are checked then it is unlikely that you are requesting an evaluation to administer TPA....The request might be for urgent neurologic assistance but not for TPA administration.
Your Personal Cellphone (for text reply)
Please know that a neurologist will still attempt to consult with you promptly. This form is merely to help detemine if the need is so urgent that it would be necessary to start a direct video consult before other information is accessible