1Download the correct requisition form
Download the correct requisition form, depending on the type of test you want conducted:
- Electroencephalography (EEG)
- Electromyography (EMG) & nerve conduction (NC)
- Evoked potentials
2For an EEG, give the reason for requesting the test
On the EEG requisition form, give the reason for requesting the EEG. You may check as many as apply.
- If event(s) are seizures
- Seizure type
- Epilepsy syndrome
- Subclinical seizures
- Non-convulsive status
- New seizure type
- Seizure control followup
- Change in medication
- Recurrence or increase in seizures
- Repeat EEG for sleep
- To capture an event
- Decreased level of consciousness – undetermined cause
- Encephalopathic
- Other
3For sedated procedures
*We no longer accept direct referrals for pediatric sedated procedures. Any requests for sedated procedures require a neurology consultation.
4If you need a fast EEG report
Your office can obtain faster EEG results by receiving a faxed report.
Physicians’ offices can contact us for more information by calling 604-875-2124.
