Neurology, Headache
& Pain Institute
Neurology, Headache & Pain Institute — home

For patients

Patient Forms

Your forms are provided when you book a new-patient appointment — complete them online before your visit, in English or Spanish.

How Your Forms Work

When you book a new-patient appointment, your intake forms are sent to you automatically — no separate download or portal hunt required. Completing them online in advance keeps your first visit smooth and gives our team time to review your history before you arrive.

What You’ll Complete

  • Authorization & Consent for Treatment
  • HIPAA Authorization for Release of Information
  • Patient Designated Contacts Form
  • Telehealth Consent Form
  • Health Information Exchange (HIE) Opt-Out Form
  • Financial Policy Agreement
  • Notice of Privacy Practices

Ready to Get Started?

Book your new-patient appointment and your forms will be on their way.