Request an Appointment


Thank you for reaching out to us for an appointment; we value your time and would like to serve you the best we can. To make this process as efficient as possible, please fill out the information below and click “submit”. Afterwards, one of our new patient scheduling specialists will be in contact with you shortly. There is no need to call the office once you submit your appointment request, and all calls and requests are returned in the order in which they are received. We sincerely appreciate your family’s trust in us and look forward to speaking with you soon.

-TCN New Patient Scheduling Team

Patient's Gender *
Patient's Date of Birth *
Patient's Date of Birth
Mother's Phone
Mother's Phone
Father's Phone
Father's Phone
Include city, state, and zip code
Patient's Primary Care Physician
Patient's Primary Care Physician
Policy Holder Name
Policy Holder Name
Policy Holder Date of Birth
Policy Holder Date of Birth
Have You Seen a Neurologist Before? *
If you have preferred times/days for you appointment, please let us know below.
Dr Riela has been my sons neurologist for over 20yrs. My son has Lennox-gastaut (seizure disorder) and he probably wouldn’t be with me today if not for Dr. Riela and the good Lord!
— Lena T.