REQUEST A CONSULTATION

Start Your Consultation

A simple first step toward understanding whether the interventional pathway may help your migraines.

One Form. Three Steps.

Requesting a consultation takes about five minutes.

One short questionnaire is the whole intake — it goes directly to our clinical team and starts your path to a consultation. Most of it happens online, on your schedule.

Start the Questionnaire →

Free · No commitment · HIPAA-compliant

1
Complete the 5-minute questionnaire
A short online form — your migraine history, what you've tried, and how headaches affect your week. No phone tag, no waiting on hold.
2
Our specialists review your information
Our clinical team reviews your answers and reaches out to schedule your consultation — or to suggest the right next step.
3
Meet your migraine specialist
A consultation (in person or telehealth) to review your history and imaging and decide — together — whether the lidocaine test or TEMMA® makes sense for you.

Your information is secure

The questionnaire runs inside our HIPAA-compliant medical records system. Your health information stays private and is used only for your care — and if you have a current neurologist or primary care provider, we keep them in the loop with your permission.

Text Messaging Consent. Submitting the form means you consent to communication via text message from our team. Reply STOP to opt out at any time.

Be Prepared

Information to Have Ready

Having the following information available when you contact us helps us serve you more efficiently and reduces delays in scheduling your consultation:

Personal Information

  • Full legal name and date of birth
  • Current phone number and email
  • Insurance provider and member ID
  • Referring physician name (if applicable)

Migraine History

  • How many headache days you have per month
  • List of preventive treatments tried — including CGRP inhibitors, Botox®, and oral medications
  • Brain imaging if you have it (MRI/MRA on CD or via secure portal)
  • List of current medications and your referring physician's contact information

Ready when you are.

Five minutes now can change the course of your migraine care.

Start the QuestionnaireCall (833) 4-CORTEX