How to Request an Evaluation

You must complete all three steps below before we will review your case.

1

Step 1

Create a free account on My Health Connection, UCHealth's patient portal. 

  1. Go to UCHealth - Access My Health Connection
  2. Click the "Sign Up Now" button
  3. If you have health insurance, make sure to enter your insurance information.
Create a UCHealth My Connection Account
3

Step 3

Ask your healthcare provider (neurologist, primary-care provider, physician's assistant, etc.) to fill out the Provider Referral Form. 

Please note that the form asks your provider to send certain medical records directly to us. (Feel free to read through the form yourself before asking your provider to fill it out.) 

In order to review your case, we will need to receive the following records from your medical provider(s): 

  1. MRI of the brain with contrast (required; best if performed within the last 6 months)
  2. MRI total spine (required; best if performed within the last 6 months)
  3. CT Myelogram (not required, but if you have had this procedure performed, we want to see the results)
  4. Any related notes or procedures done
Provider Referral Form

 What to Expect

Once you've completed Steps 1-3, above, our nurse practitioner will review your medical records with the neuroradiologists. The review process may take up to several weeks.

  • Once the review is complete, the nurse practitioner will contact you via phone to discuss your current condition and the recommended care plan.
  • Next, one of our clinic coordinators will call you to schedule an appointment at our clinic, as well as any procedures recommended by the neuroradiologist.

 Contact Us

If you've completed Steps 1-3 above and want to check the status of your case, or if you have questions that aren't answered on this page, please call our clinic coordinator at 720-848-2080.

Please understand that our office staff receives a high volume of calls, and your patience is appreciated.

Department of Radiology

CU Anschutz

Leprino Building

12401 East 17th Avenue

Aurora, CO 80045

720-848-0000

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