PostHeaderIcon Registration Forms

To expedite your initial registration with our office, we ask that you please download, print, and complete the following forms and bring them with you to your initial consultation:
Carolina NeuroServices Registration Packet(.pdf)

The following can be completed by your referring doctor (if applicable):
Carolina NeuroServices Referral Form (.pdf)

Please also download, print, and read our “Notice of Privacy Practices.”  Keep a copy of this form for your own records:
Notice of Privacy Practices (.pdf)

 

If you need the Adobe Acrobat Reader® to open or print these documents you can get it HERE