5841 Jameson Court, Carmichael, CA 95608
Mon–Fri 8AM–5PM · Telehealth Available
VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
TM Flow Testing for Autonomic Dysfunction, Small Fiber Neuropathy, Dizziness, Neuropathy Symptoms, and Circulation Concerns
The autonomic nervous system controls automatic body functions such as heart rate, blood pressure regulation, sweating, circulation, digestion, and the body’s response to standing.
Small fiber nerves help control pain, temperature sensation, sweating, and autonomic function. VerityMD Neurology offers autonomic nervous system and small fiber neuropathy testing using TM Flow technology when clinically appropriate.
Symptoms We Evaluate
Burning pain in the feet or hands
Tingling, numbness, or temperature sensitivity
Pain with normal touch
Lightheadedness, near-fainting, or fainting
Brain fog with standing
Sweating changes
Cold hands or feet or color changes
Diabetic neuropathy symptoms
Neuropathy symptoms with normal EMG/NCV testing
Conditions We Help Evaluate or Manage
Diabetic autonomic neuropathy
Cardiac autonomic neuropathy risk
Orthostatic intolerance
Sudomotor dysfunction
Peripheral circulation concerns
Peripheral artery disease risk markers
Endothelial or cardiometabolic risk markers
Services and How They Help
TM Flow Autonomic Nervous System Testing
TM Flow can evaluate selected markers of autonomic nervous system function including heart rate variability and cardiovascular autonomic responses.
How this helps:
Evaluates autonomic regulation
Helps assess dizziness with standing
Provides objective data for hydration, compression, medication review, and treatment planning
Small Fiber Neuropathy and Sudomotor Testing
Sudomotor testing evaluates sweat gland function as a marker of small fiber autonomic nerve involvement.
How this helps:
Assesses small fiber/autonomic nerve involvement
Helps evaluate burning or painful neuropathy symptoms
May be useful when EMG/NCV is normal but symptoms persist
Peripheral Vascular and Circulation Assessment
TM Flow may include peripheral vascular markers relevant to circulation concerns in hands and feet.
How this helps:
Assesses vascular risk patterns
Supports evaluation in diabetes or vascular risk factors
Connects neuropathy and circulation concerns
Cardiac Autonomic Neuropathy Risk Assessment
Cardiac autonomic neuropathy can affect heart rate and blood pressure regulation, especially in diabetes and metabolic disease.
How this helps:
Evaluates heart rate variability and cardiovascular autonomic responses
May explain dizziness, exercise intolerance, or abnormal heart rate responses
Supports risk-factor counseling
EMG/NCV Testing When Large Fiber Neuropathy Is Also Suspected
Some patients need both TM Flow/sudomotor testing and EMG/NCV because small fiber and large fiber neuropathy can overlap.
How this helps:
Evaluates large fiber neuropathy, radiculopathy, or entrapment neuropathy
Complements small fiber testing
Supports more complete diagnosis
When Autonomic & Small Fiber Neuropathy Testing May Be Helpful
Dizziness or brain fog when standing
Near-fainting episodes
Sweating changes
Burning foot pain
Diabetes or prediabetes with neuropathy symptoms
Small fiber symptoms with normal EMG/NCV
Parkinson’s disease with dizziness, blood pressure changes, constipation, or falls
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available
Blood pressure readings if available
Diabetes history and most recent A1c if available
Prior EMG/NCV or autonomic testing if available
Cardiology records if dizziness or fainting has been evaluated
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
What Patients Say About Their VerityMD Experience
Being heard. Finding answers. Knowing what comes next.
I found Dr Mittal and his assistants to be very thorough and kind. They did not rush me through my appointment but listened to my concerns and then they were very good about addressing those concerns. I came away from the appointment feeling so much better because they really listened to me. So many doctors these days don’t bother to examine me but that was not my experience with Dr Mittal and his assistants. The front desk people were also very kind and professional.
Excellent experience at VerityMD Neurology Clinic. The staff was professional, caring, and attentive. The doctor listened carefully to my concerns and explained everything clearly. The clinic was clean and well organized. I highly recommend this clinic to anyone looking for quality neurological care. Thank you for your excellent service.
Dr. Mittal and his team are so professional and helpful. I started seeing him last year. He has been very thorough in diagnosing my health condition. He and his staff are kind and caring.
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
Please Confirm Your Appointment Location
VerityMD sees patients at both our Carmichael and Folsom clinics. Please check your appointment confirmation text message before traveling to your appointment. Your confirmation will identify the correct clinic location.
Patients are responsible for arriving at the clinic listed in their appointment confirmation. Patients who arrive at the incorrect location will not be able to be seen for that appointment and will need to be rescheduled.
Neurology consultations and follow-up visits are available at both locations. All procedures are performed at our Folsom clinic.
Comprehensive neurological care for patients and families across the Sacramento region.
Patient Resources
Neurology Care
Our Locations
Folsom Clinic
193 Blue Ravine Rd, Suite 265
Folsom, CA 95630
(P): (916) 500-4989
Office Hours
Mon-Fri: 8AM – 5PM
Closed: 12–1PM
Carmichael Clinic
5841 Jameson Court
Carmichael, CA 95608
(P): (916) 500-4989
Office Hours
Mon-Wed: 8AM – 5PMClosed: 12–1PM
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Referral Information: New patients require a referral from their primary care provider or referring clinician.