Neurology Forms
New patients: Please print and fill out all the forms below. Be sure to bring the completed forms with you for your office visit.
Consent, Payment Policy and Payment Agreement
Message Authorization and Acknowledgement of Notice of Privacy Practices
Patient Portal Email Authorization
Transparency in Healthcare Prices Act
If you would like to authorize the use or disclosure of your Protected Health Information (PHI) to a particular person or entity, please use the form below.
Authorization for Use/Disclosure of Protected Health Information
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