--------------------------------------------------------------------------
NEW PATIENTS
--------------------------------------------------------------------------
If you would like to request an appointment with one of our providers, please print, read and complete the following four page packet, which includes:
-
an introductory letter : Please read this and keep it for your records.
-
a patient demographic sheet : Please complete and submit.
-
a patient information sheet : Please complete and submit.
-
our Office Policies sheet : Please sign and submit.
Read the letter and keep it for your records. Fill out and sign ALL of the information on the remaining three pages. In addition to the completed forms, we must have a copy of your driver’s license and health insurance card(s) (both sides if it is double sided). Upon completion, you may submit your completed forms and copies of insurance card(s) in person at our office, or by mail or fax.
Psychological/neuropsychological evaluation: Testing typically involves three separate appointments on different days. * Your first appointment will be a 40 minute consultation with Dr. Kimberly Adams. After the initial consultation, we will schedule you for testing with one of our trained technicians. Approximately two weeks after testing, you will have a feedback appointment where you will have the opportunity to discuss the results of the testing with Dr. Kimberly Adams.
(*This process does not apply to testing for pain, SCS or GBS.)
--------------------------------------------------------------------------
Important Forms for New Patients
--------------------------------------------------------------------------
New Patient Packet
(new_patient_packet.pdf)
Release of Confidential Patient Information
(confidential_patient_information.pdf)