Directions for New Patients

If you are a new patient to our practice, please complete the new patient forms online before your appointment. Download the forms to your computer/device. Complete each form and click the SUBMIT FORM button to send directly to our office. The forms you will need to fill out are: Adults – Patient Hipaa Form, Patient Demographics, and Medical History form. Pediatrics – Patient Hipaa Form, Patient Demographics, Medical History form and any questionnaire’s as instructed at time appointment was made. Please arrive 30 minutes early so we may process your paperwork.

Return Patients

You will need to fill out and updated Patient Demographic form if you have had ANY changes since your last visit. Please remember you must present your insurance card at every visit and please arrive 15 minutes early so we may process your paperwork.

• Patient Hipaa Form
• Patient Demographics Form
• Patient Medical Records Release Form
• Patient Medical History Form
• Notice of Privacy Practices
• Ambulatory EEG Instructions
• Regular and Sleep Deprived EEG Instructions
• Pediatric EEG Instructions
• EMG/NCS Instructions
• Epilepsy Monitoring Unit Instructions
• Insurance List