department of neurology  
  epilepsy, neurological institute of new york entrance  
  Telephone: 212-305-1742 || Email: ar2945@columbia.edu  
 
 
 

TEST REQUEST FORMS




If you want to schedule an appointment at the Columbia University Comprehensive Epilepsy Center please complete required form and call 212-305-1742 to schedule an appointment. You can also submit request via fax: 212-305-5445.

epilepsy test request forms

*Forms must be filled out by referring physician and bought to the appointment.












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© 2004 The Neurological Institute of New York • Columbia Comprehensive Epilepsy Center. 710 W 168th St, New York, NY 10032. Phone: 212-305-1742
Department of Neurology | Columbia University Medical Center | Last updated: June 8, 2010 | COMMENTS? Email the administrator