NEW Lakewood location. Call 720.638.7500 for appointment.

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720.638.7500

Patient Referral Forms

If you are a healthcare provider and would like to refer a patient to Neurosurgery One, please select and complete a secure electronic referral form by clicking on a link below. If you have questions, please call us at 720.638.7500. Thank you for your trust in Neurosurgery One.

PATIENT NOTE: These forms are for healthcare providers ONLY. If you are a patient, please request an appointment here. Use of patient referral forms below by non-healthcare providers will not be processed. 

Epilepsy Evaluation

Open Form

Deep Brain Stimulation Evaluation

Open Form

Spinal Cord Stimulation Evaluation (NSO South Denver Offices)

Open Form

Spinal Cord Stimulation Evaluation (NSO North Denver Offices)

Open Form

Epilepsy Monitoring Unit Evaluation

Open Form

Dr. Gummadavelli Referral

Open Form
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Request an Appointment

Neurosurgery One is accepting new patients at all of our metro Denver neurosurgery and Denver spine centers. Please determine if you prefer to be seen in one of our North Denver or South Denver offices by clicking “North” or “South” below.

To schedule an appointment, submit the form and a scheduler will call you within 3 business days.

Thank you and we look forward to serving you.

North Denver: Lakewood, Westminster

South Denver: Littleton, Lone Tree, Castle Rock, Parker