Patient Forms - click on form to open printable copy
Plan to arrive at least fifteen minutes early to complete the necessary registration and insurance information.
Please arrange to have your medical records and any diagnostic images (MRI, CT Scan, XRays) sent in advance or bring a copy with you. These records may be pertinent to our evaluation of your neurological system.
Bring all medications you are taking (or an accurate list) to each appointment. Be sure to include the medication name, prescribed dosage, prescribing physician's name, and how often you take each medication.
We will also need information about your insurance coverage. Please fill out the your insurance information in the forms below. If any of this information changes between visits, please let us know so we can update your records.
Please complete the New Appointment Form and bring with you to your first visit.
(402) 483-5440 (fax)
Neurology Associates, P.C.
2631 S. 70th St. | Lincoln, NE 68506