New Patient Intake Forms

 

All new patients are required to complete an intake packet prior to their first appoint with the doctor.  These forms are thorough and may require 20 minutes or more to complete.  By completing these documents prior to your appointment, the doctor can review the information with you during your visit and optimize the time with you to better provide you comprehensive care.

 

You can download the intake forms below.  All forms need to be completed.  Adobe Reader is required and can be downloaded by clicking here.

Patient Registration

Insurance Information

Authorization Form

Health History Form

Privacy Practices

Alternatively, you may call the office to have a packet mailed to you or you may choose to arrive at least 30 minutes prior to your scheduled appointment time to complete the documents in our spacious waiting room.

 

Please note that if the intake packet is not completed by your appointment time, you may be required to reschedule your appointment.

 

Beginning July 5, 2014, all patients will be able to complete the questionnaire online, and the questionnaire will be automatically integrated into each patient’s health record to try to reduce our carbon footprint.

 

Patient Procedure Instructions

 

Please find links below for patient instructions for various procedures performed in our office.  Adobe Reader is required and can be downloaded by clicking here.

Electromyogram and Nerve Conduction Studies Patient Instructions

Electroencephalogram Patient Instructions

Brainstem Auditory Evoked Response Patient Instructions

Visual Evoked Response Patient Instructions

Botulinum Toxin Injection Patient Instructions