What to Bring to the Appointment

• Patient's insurance card
• Physician referral forms, if required by insurance
• List of prescriptions and/or over-the-counter medications, including dose and frequency
• Information about the patient's medical and surgical history
• Recent MRIs, CTs, x-rays, or relevant records
• Completed patient forms

New Patient Forms

For your convenience, you may download, print, and complete the following new patient forms before your first visit.

[PDF Help]

Insurance and Payment Information

Neurology Specialists, P.C., is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliation

Bloomington Hospital, Bloomington, Indiana.

Privacy Practices

Notice of Privacy Practices for Neurology Specialists, P.C.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.