department of neurology  
  710 West 168th Street, 7th Floor, New York, NY 10032 || Telephone: 212-305-1742 || Email: epilepsy@columbia.edu  
  epilepsy, neurological institute of new york entrance  
 
 
 

FORMS



epilepsy test request forms



Please fill out the following forms and bring them with you to your appointment.






















© 2004 The Neurological Institute of New York • Columbia Comprehensive Epilepsy Center. 710 W 168th St, New York, NY 10032. Phone: 212-305-1742
Department of Neurology | Columbia University Medical Center | Last updated: March 25, 2014 | Comments
 

ABOUT OUR CENTER:

- OUR DOCTORS
- IN THE NEWS
- CONTACT & DIRECTIONS
PATIENT INFORMATION:

- OUR DOCTORS
- WHAT IS EPILEPSY?
- TREATMENT OF EPILEPSY
- SEIZURE PRECAUTIONS
- SEIZURE FIRST AID
- SUCCESS STORIES
- PATIENT EDUCATION
- WOMEN'S HEALTH
- ADOLESCENTS & TEENS
- PEDIATRIC EPILEPSY
- FORMS
- DONATIONS
- EVENTS
- AWARENESS DAY
- ADDITIONAL RESOURCES
- CONTACT & DIRECTIONS
EDUCATION:

- CLINICAL NEUROPHYSIOLOGY FELLOWSHIP
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RESEARCH:

- CLINICAL RESEARCH STUDIES
- BASIC EPILEPSY RESEARCH
- RESEARCH RESULTS