Jump to Content
 

Available Forms

Add Link to Web Page Apractis Clinic-Request New Member Invite Barbash Network-Register Blog-Updox-Post a Comment Consult Documentation-Neurology-Andrew Barbash, MD Consult Request-Community Clinic Consult Request-Mercy Bella Vista (AR) Consult Request-Mercy North Iowa Consult Request-Mercy Northwest Arkansas (AR) Consult Request-Putnam Hospital (NY) Consult Request-Univ of Md St Josephs Copy of Join Us-Including Specialties Family Available for Consult Info Now Family Contact Information Mobile Video-SMS Reply-Connect Now NeuroDox-Request a Mobile Video Link NowDox Request Confirmation NowDox-Add Room Link Nurse/Care Manager Secure Message for Andrew Barbash, MD Other Hospital or Facility Neurology Advice (Physician/Mid-Level Use Only) Patient Confirm Video Visit Time Patient Info Request Send to Provider Patient/Family Caregiver Request Virtual Care PERSONAl/MY FAMILY ONLY-From Ellie to Andy Physicians/Mid-Levels Secure Message for Andrew Barbash, MD Podio Access Request Schedule a Virtual Care Visit with AJBMD ShareFile Secure Folders Registration Team Meeting TESTING-General Neurology Request TESTING-Hospital Neurology Request-NeuroDox Form TESTING-Neurology Followup Virtual Care Primary Care Patient Registration WAFCC-Admin Contact Form Waiting Room-Dr Vu Waiting Room-Test Specialty WebForm-Add Your Hospital to Our List WebForm-Availability-Neurologist WebForm-Consult Request for Dr Barbash-Neurology Telemedicine WebForm-Meet Dr Barbash by Video WebForm-Nurse Meet by Video for General Neurology WebForm-Nurse Notify About a Secure Video Chat WebForm-Provide Contact Info WebForm-Register with Barbash Virtual Care WebForm-Request to Enter Webinar Meeting WebForm-Specialist Registration for Barbash Virtual Care WebForm-Updox ID Request for Barbash Neurology Team WebForm-Waiting Room-Neurology WebForm-Waiting Room-Nurse Direct-Dr Barbash Z-Archive-Barbash Network-Contact Us Request Entry to My Zoom Video Room-AJBMD Web Message for Dr Barbash
TESTING-Hospital Neurology Request-NeuroDox Form

Request Neurology Consult

Pilot program of a direct neurology triage form for use directly by physicians or mid-level providers . This is not for use by unit clerks or support staff. It is intended for directly conveying to the neurology coverage team what you need and when.

PLEASE NOTE...in a live program there would be a separate form just for YOUR hospital so you would not need to enter this separately. That form would be automatcially delivered securely to an Updox Team Inbox. The Neurologists who are credentialed at your facility would all have access to that team inbox queue and whoever is working on shift or available to assist with extra needs would be notified on their mobile phones, access the queue and respond back to you.
 
I must be able to send you back an SMS text message. If you do not have a mobile phone able to accept a text message please do not use this form.
 
 
 
Please check all that apply, which will help the neurologist rapidly triage the case and make sure your needs are met<br/>
 
 
 

Please make sure your staff calls the case into the Consult Coordination Center so that it can be logged and also assigned out accordingly. The SOC Consult Center Number is 855-216-1075.

* Required field