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Neurosurgery Referral Guidelines for MAP

Patient info requirements:

  • Patient must be age 18+.
  • Complete referral form.
  • Patient demographics, including insurance.
Clinical documentation requirements:

  • Most recent clinic visit note.
  • Previous diagnostic evaluations.
  • Relevant imaging (MRI) supporting diagnosis.
  • Previous subspecialty evaluations.


 Mark dx hereConditionSend to ER Send Urgent ReferralSend Routine ReferralDo not refer
AneurysmIf symptomaticX
Back painX
Brain cyst (including Pituitary)X
Brain tumor/neoplasmX
Carpal tunnel syndromeX (refer to UT Health Austin)
Cauda equine syndromeIf symptomaticX
Cavernous malformationX
Chiari malformationX
Conus medullaris lesions/syndromeX
Cord compressionIf symptomaticX
Disability evaluationsX
HydrocephalusIf symptomaticX
Loss of function from presumed disc diseaseX
Neck painX
Pituitary cystX
Spinal cord cyst or syrixX
Spine tumor/neoplasmX


Thank you for your trust and confidence in referring your patients to our Neurosurgery clinic. The table above is not inclusive of all Neurosurgical diagnoses. It is intended to assist the referring physician in initiating the referral process. If you have a referral question that is not included in the list, please call our office and the on-call Neurosurgeon will be in touch with you to discuss it. Our goal is to provide your patients with efficient, compassionate and high-quality care.

Contact us:

Seton Brain and Spine Institute (SBSI)
Health Transformation Building
1601 Trinity St. Ste. 704 (F)
Suite 704
Austin, TX 78712

 Phone: (512) 324-8300
Fax: (512) 324-8301

 Office Hours:
Monday – Friday, 8:00am – 5:00pm
(Closed on Saturdays and Sundays)

Have questions or comments about the specialty referral guidelines? Submit them here.