Appointments

Request an Appointment

Fill out this form and we'll check your information and reach out to schedule your appointment.

Neurology Los Angeles — Leon Barkodar, M.D.
7301 Medical Center Dr, Suite 410, West Hills, CA 91307  |  (818) 593-2191
Your information stays on your device until you choose to send it.

* Required fields

Full name *
Date of birth *
Cell phone *
Email *
Preferred contact method *
Insurance or self-pay *
Insurance company name *
Member ID *
Group number (optional)
Policyholder name (if different from patient, optional)
Self-pay visits are due at the time of your visit. We'll confirm pricing when we call you.
Photo ID & insurance card
Photo of your ID
Photo of insurance card (front & back)

After clicking Send below, please attach these photos to the email before sending. We use them to verify your information before we call you to schedule.

Reason for appointment *
Preferred doctor (optional)
Preferred days/times (optional)
How did you hear about us? (optional)

Send your request

This opens your email app with the request ready to send to our office. Nothing is submitted until you press send.

Or copy your details and paste them into an email to office@neurologylosangeles.com.

Thank you!

Your email app should have opened with your request ready to send. We'll check your information and reach out to schedule your appointment.