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Scheduling an Appointment
Tel ( 904 ) 834 - 3007
Fax ( 904 ) 834 - 3008
info@neurologique.org

You may request an appointment in-person, by telephone, by facsimile, by email or through the online form.


Although all requests are treated with the same high level of confidentiality, email and online form requests remain, by the very nature of the internet, the most insecure of all the avenues open to you. Please, only use these online/email request methods once you have considered your alterantives.


Last Name: First Name:
Telephone: Email Address:


Type of Appointment:

Diagnosis (optional):
Neurologist
Multiple Sclerosis (MS)
Mental Health Counseling
Migraine
Research
Headache
Other

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