Patient Information

New Patient Form

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What to bring to the appointment

  • Your insurance card
  • Physician referral form 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

    NeuroMedical Group is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.
    All co-pays are due and collectible at the time of the 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. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

    24-Hour Cancellation Policy

    There is a $25 charge for all cancellations that occur within a 24-hour period of the original appointment.