Electroencephalogram (EEG ) And Evoked Potential Request Form

Form Template

An Electroencephalogram (EEG) is used to test electrical activity in the brain of a patient and determine if there are any problems manifesting physically.

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This test is often performed to test for epilepsy, a brain tumor, in response to a head injury, encephalitis, dementia, stroke, for a sleep study, or to evaluate other behavioral changes. The test is conducted by electrodes measuring the response of electrical signals and sending them to a computer to be recorded. An Evoked Potential (EP) test is generally used to test for Multiple Sclerosis and tests specific electrical lines in the brain. The Electroencephalogram (EEG) And Evoked Potential Request Form app is a useful tool that will need to be completed by a doctor referring a patient for these brain activity tests. The data from the EEG Measures and Evoked Potential tests the can help a doctor detect brain activity problems and determine treatment plans.

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