DepartmentResources for Providers

 

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 [Back to Overview](/departments/neurology/stroke-and-cerebrovascular-center)## Explore department

 
 

 

 Request an Appointment  ## Request an Appointment

Request an Appointment

 ##### By Phone

For general scheduling or help finding the right provider, call to speak to a member of our care team.





 

##### Schedule Online

If you’ve already seen a provider in this department, you can request a follow-up with them in MyChart.

[Schedule With MyChart](https://mychart.bmc.org/)



 

 

 

 

 Close Dialog Refer a Patient  ## Refer a Patient

Refer a Patient

 Hours of Operation: Monday – Friday, 8:30 a.m. to 5 p.m.

Phone: [617.638.8456](tel:617.638.8456)

 

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  ## Stroke and Cerebrovascular Center

# Resources for Providers

 Explore Stroke and Cerebrovascular Center

 ## Affiliated Hospitals, Health Centers, and Practices

The BMC Stroke and Cerebrovascular Center is pleased to serve as the tertiary affiliate for many area hospitals, medical centers, and private practices. We provide emergency patient care, quality assurance, education, and transfer services as needed to support the neuroscience programs at these facilities.



 [Browse the Complete List](/neurology/stroke-and-cerebrovascular-center/affilitations) 

## Forms

- [Anesthesia Request Form (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/Anesthesia-request-form.pdf)
- [Authorization to Obtain Protected Health Information (PHI) from a Non-BMC Healthcare Provider (PDF)](/sites/default/files/Visiting_Us/Patient_Information/Privacy/field_Attachments/bmc-Request-PHI-nonBMCprovider.pdf "BMC Authorization to Obtain Protected Health Information (PHI) from a Non-BMC Healthcare Provider (PDF)")
- Consent to Special Procedure Form
    - [Consent to Special Procedure Form (PDF, English)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/Procedure-consent-English.pdf)
    - [Consentimiento para Procedimiento Especial (PDF, Español](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/Procedure-consent-Spanish.pdf))
- [CT Myelogram Request (Online Form)](https://bmc.tfaforms.net/f/CT-Myelogram-Request)
- [Fluoroscopy Data Form (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/fluoroscopy-levels-form.pdf)
- [Interventional Neuroradiology Consult Form (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/BMC-neurointerven-form.pdf)
- [Lumbar Puncture Form (MS Word)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/Lumbar-Puncture-form.doc)
- [Pre-Procedural Neuro-IR Planning Meeting Form (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/Preprocedural-Plan-Mtg.pdf)
- [Stroke Dysphagia Screening Criteria (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/stroke-Dysphagia-Screening.pdf)
- [NIH-BMC Stroke Scale (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/BMC-NIH-Stroke-scale.pdf)
- [MA Office of Emergency Medical Services Comfort Care/DNR Order Verification Form (PDF)](/sites/default/files/Patient_Care/Specialty_Care/Stroke_and_Cerebrovascular_Center/Medical_Professionals/Forms/field_Attachments/comfort-care-form.pdf)