WELCOME NEW PATIENTS

Getting Started

Thank you for choosing Tri-State Mountain Neurology for your neurological needs. We want to make your first visit with us as smooth as possible, please complete the steps below prior to your first visit.

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Referral Form

Please note that we require a referral from your primary care physician in order to be seen by our physicians.

Referral Form

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Required Paperwork

In order to understand your needs best we will need certain information from you for our records. Please print out the forms below and have them filled out prior to your arrival.

New Patient Form

Financial Policy Form

HIPPA / Privacy Form

Medical Release Form

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What to Bring

Please bring a list of your medications along with your insurance card, verifying that we accept your insurance before scheduling an appointment.

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Stay in Touch

We want to support all of our new patients in this journey. If you have any question or concerns regarding this process do not hesitate to reach out via office phone or the contact form below.

Practice Policies Forms

Complete this document and bring all paperwork to your first visit.

Medical Records & Release form

Please complete this document and bring all paperwork to your first visit.