Get Ready for Your Appointment
For your convenience, our New Patient forms online are printable. Printing this New Patient packet and completing all the forms provided will improve the registration process and speed patient check-in at your first appointment. Please remember to bring this completed information on the day of your appointment. You will also need your insurance card (cards) and a photo ID.
If your insurance requires a referral, it is patient responsibility to ensure that our office has received the necessary referral prior to your scheduled appointment. If a required referral has not been received by the time of your appointment, the services rendered become patient responsibility and you will be expected to pay for those services, or you may reschedule until the referral is received.
Office Policy requires co-payments and co-insurance to be paid at the time of service.
Please bring a list of all current medications, including dosage and frequency. We will also need your pharmacy name, address, and telephone number.
We ask that you arrive 20 minutes before your scheduled appointment time to allow us to properly register you prior to your appointment. We must complete new patient registration before you can be seen by a physician, so completing this paperwork prior to your arrival and bringing it to the office will help us decrease your wait time.
Patients arriving 15 minutes or more after their schedule appointment time may be required to reschedule.
While we understand how unpredictable travel time can be, we believe it inappropriate to inconvenience others by delaying their appointment time to accommodate late arriving patients. Thank you for understanding this policy. If you believe you might arrive late for a scheduled appointment, please call the office and speak to a Front Office/Scheduling staff member who can assist you.
There is a fee for failure to show up for a scheduled appointment and for appointments not canceled 24 hours in advance. There is a fee for failure to show up for, or cancel 24 hours in advance, a scheduled procedure; EMG, EEG, Sleep Study, and BOTOX.
There is a fee for forms completed by a physician. Payment is required prior to paper work being completed. Fees vary depending on length and type of form. Please contact our office for pricing.
Thank you for choosing Center for Neurological Treatment & Research (CNTR). We look forward to serving you and seeing you at your appointment.
Our practice utilizes a Patient Portal for secure transfer of information. If you would like to be web-enabled in order to complete some of the required forms online to further streamline your registration process, simply call our office, speak to one of our scheduling specialists, provide your email address, and we will web-enable you for the Patient Portal so that you can provide this information via computer within a secure website.