REQUIRED NEW PATIENT FORMS

• Neurological Consultants Office Policies
• Notice of Privacy Practices
• HIPAA release to speak with
• Health History
• Privacy Practices * (NO NEED TO BRING IN TO US - For your records only)

PROGRAMS AND SERVICES CONSENT FORMS

• BOTOX Medication Guide
• Myobloc Medication Guide
• XEOMIN Medicatiom Guide

RECORDS RELEASE FORMS

• Record Release Form (Releasing our records to outside our office)
• Record Request Form (Requesting your medical records to us)

RETURNING PATIENTS

• Medications and Complaints form