Patient Information

What to Bring to Your Appointment

Download and Complete New Patient Form Before Appointment

If you are a new patient, you will need to download & print the new patient forms, fill them out, and bring them with you to your appointment.  Please click the button below to download the form. You will also need to submit the completed application using the contact form below.

Submit New Patient Form Here Before Your Appointment

Once you have downloaded, filled out, and saved the form, please submit using this contact form:

    First Name*

    Last Name*

    Select Completed New Patient Form*

    Government issued valid photo ID

    Accepted IDs are Current Drivers License, MVA ID, Passport, Armed Services card, and Resident Alien card.

    Name and Date of birth MUST match with your insurance card.

    insurance card

    Accepted insurance carriers are listed below, please see below for reference

    Your referral

    Please bring your referral from your primary care physician if so required by your insurance.

    Current Medications

    A list of current prescriptions and/or any over-the-counter medications you are currently taking, including the dosage and frequency. Please include the name and address of your pharmacy for prescriptions.

    Medical Records

    Please provide the medical records pertaining to your visit.

    Brain and Spine Tests

    If there are any recent blood work, X-Rays, MRIs, or CT scans of Brain and Spine conducted please bring those copies.

    Insurance and Payment Information

    nurse station

    Neurological Medicine, P.A., is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by your insurance company will be your responsibility.


    We request payment at the time of your appointment for services that are not covered by your insurance. Your insurance company may also require that you pay a co-pay at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.


    Should you have any questions or concerns regarding billing, you may contact us at (301) 982-7944. Any additional questions regarding your coverage and benefits should be directed towards your employer or insurance company.

    Insurances Accepted

    Insurances Not Accepted

    Request New Appointment

    If you are a new or previous patient, inquire about an appointment date via phone, email, or our contact form.

    Ask Us Your Questions and Concerns

    Give us a call regarding insurance, services, and more. Physicians can send us referrals here.


    Dedicated Care

    We provide compassionate and expert service to our patients.


    Quick Scheduling

    We are committed to seeing new patients within seven days or less of your request.

    Comfortable Tests

    We offer comprehensive and non-invasive studies.