New Patient Forms Complete your forms online before your visit

Click below and Complete the New Patient Questionnaire.

Click below to sign legal documentation - for all doctors’ appointments except Expert, IME, CME & Psychology.

Click below to sign legal documentation for all neurological, audiological and diagnostic Expert Evaluations, IME’s, and CME’s

Please complete the following form with how you are feeling currently:

Click below to sign legal documentation for Psychology, with Dr. Shelley Tindell-Nodine

Click below to sign the Deferred Payment Agreement.

Click below to sign authorization for psychological treatment of a minor child, if applicable:

For all Compulsory, Expert, and Independent Psychological Evaluations, Examinee must sign the following:

Immediately following your visit, please sign the Disclosure Form below (for Florida Auto Accidents):

If you are being referred for nerve conduction testing (NCV/EMG) only, please complete the following form:

For all Washington State Patients, please sign the following Telemedicine Consent Form:

Please read the Notice of Privacy Practices at your convenience.