What to Bring to the Appointment

• Your insurance card
• Physician referral forms if required by insurance
• A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or appropriate records you may have

Insurance and Payment Information

Neurologic Consultants, P.A., is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.

We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Patient Forms

For your convenience we have provided a link to our patient information form and a patient questionaire form so you can print and complete the forms before your visit. Please remember to bring the completed forms, insurance card(s), and current medications with you on your first visit. Please print the following forms:

• Patient information form
• Patient questionaire form

Privacy Practices

Notice of Privacy Practices for Neurologic Consultants, P.A.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Privacy Practices Acknowledgement Form.

Please print and sign the acknowledgement form and bring with you on your office visit.

Privacy Practices Acknowledgement form.