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Referral to Gunderson Health System Neurosciences Fax this completed form to Neurosciences Schedulers Fax (608) 7755263Page 1 of 2Records must accompany this referral. Please include documentation,
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Who needs neuroscience inpatient services?

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Individuals experiencing neurological disorders or injuries that require specialized care and treatment.
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Those in need of comprehensive rehabilitation services following a neurological event such as a stroke or traumatic brain injury.
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Neuroscience inpatient services are specialized medical services provided to patients with neurological conditions who require hospitalization.
Healthcare providers and facilities that offer neuroscience inpatient services are required to file the necessary documentation.
Neuroscience inpatient services can be filled out by providing detailed information about the patient, their medical history, treatment provided, and any outcomes.
The purpose of neuroscience inpatient services is to provide specialized care and treatment for patients with neurological conditions in a hospital setting.
Information such as patient demographics, diagnosis, treatment provided, length of stay, and discharge summaries must be reported on neuroscience inpatient services.
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