Refer a Patient

At Helios Neurosurgery, we view the referral relationship as a critical collaboration. When you entrust us with your patient’s care, we act as a seamless, reliable extension of your own practice. We recognize that navigating complex cranial, cerebrovascular, and spinal pathologies requires not only advanced surgical expertise but also clear, rapid communication and common-sense execution. Our objective is to replace the administrative delays and uncertainty often found in specialized care with a straightforward, highly responsive triage process.

We understand that a primary or adjacent provider’s most pressing need is a decisive answer. Whether a case calls for intricate micro-surgical intervention, targeted endovascular treatment, or a conservative, non-surgical management pathway, we provide an honest, evidence-based assessment rooted in clinical reality. Dr. Lee meets each clinical scenario with quiet command and meticulous preparation, ensuring your patient receives a thoroughly considered, personalized care plan without medical ego or unnecessary complexity.

Streamlined Communication, Coherent Outcomes

To facilitate immediate, professional continuity, we have designed a secure, simplified referral portal below. We know your time is valuable, so we have eliminated unnecessary administrative friction. Submitting this structured form allows our clinical team to immediately analyze the case mechanics, coordinate diagnostic imaging reviews, and fast-track patients based on clinical urgency.

Once your submission is received, we keep you actively informed at every major milestone of the diagnostic and treatment journey. Following our evaluation, we provide timely, comprehensive clinical updates so you can maintain a complete view of your patient’s continuous care

If you are dealing with an acute, time-sensitive pathology that requires direct peer-to-peer consultation, please do not hesitate to contact our Phoenix office directly at (602) 456-4355. For all standard and specialized neurosurgical evaluations, please complete the secure transmission form below to initiate our collaborative intake process.

Patient Referral

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URL

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Name*

First Last

Phone*

Email*

Date of Birth*

Gender*

Are you a previous patient?*

Address*

Street Address Address Line 2 City State ZIP Code

Have you already been diagnosed with a neurosurgical condition?*

What type of neurosurgical condition are you inquiring about?*

Who is your referring physician?*

Referring physician's phone number

What is the purpose of your inquiry?*

Please describe your symptoms

Primary Insurance Name*

Member #*

Group #

Front of your primary insurance card

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Back of your primary insurance card

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P.O. Box Address on Back of Insurance Card*

Do you have Secondary Medical Insurance?*

Type of Recent Imaging*

Date of Imaging*

Location of Imaging*

Do you have 2nd imaging to add?*

Upload Imaging Report

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Does Helios Neurosurgery have permission to access your medical records and imaging to determine if you have a neurosurgical problem we can assist you with?*

SMS Consent*

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