An independent practice
with an integrated approach
Neurology Group of Bergen County Logo
201-444-0868   Adult
201-251-9020   Pediatric
201-444-0631   Rehabilitation
Neurology Group of Bergen County Logo
An independent practice
with an integrated approach
201-444-0868   Adult
201-251-9020   Pediatric
201-444-0631   Rehabilitation

New Patients

New Patients

 


We want to make your first visit with us as trouble free and time efficient as possible.

READ THE FOLLOWING

New patients or returning patients who have not gone through the new patient process should read the following items.

New Patient Packet Letter
Notice of Privacy Practices (HIPAA)
Evaluation for School, Attention, and Behavior Issues


PRINT AND FILL OUT THE FOLLOWING

In order to make your first visit to our office as convenient for you as possible, we encourage you to print, read, and fill out the registration form, appropriate history form(s), both sections of the HIPAA acknowledgement form, and the Financial Services Guidelines before you arrive.

Bring the completed forms when you come for your office appointment.

Patient Registration Form
Adult Patient History Form
Pediatric Patient History Form
HIPAA Privacy Acknowledgement and PHI Authorization Form
Financial Service Guidelines

If you are being treated for headaches, please complete the Headache History Form in addition to the Adult Patient History form.

Patient Headache History Form


ABOUT THE PATIENT PORTAL

The patient portal allows our patients to have access to parts of their personal healthcare record and provides a secure manner to communicate with our office. New patients can only activate their account while they are physically in the office. Once becoming established with our practice, patients are given the option to become web enabled. This will provide each patient their own unique user name and password to the patient portal.

Some of the advantages of utilizing the portal are:

  • Securely send messages to physicians
  • View parts of medical record
  • Receive results of laboratory or diagnostic tests
  • Review upcoming appointments
  • View billing statements and visit summaries
  • Request prescription renewals
The portal should not be used in emergency situations.

We encourage our patients to take a few moments to review this option when visiting and ask questions regarding the portal to our office staff.


ADDITIONAL INFORMATION

Valet parking is available daily from 8:00 A.M. until 4:30 P.M.

The service is free and tipping is not obligatory.


About HIPAA

The federal Health Insurance Portability and Accountability Act (HIPAA) exists to protect your rights to the privacy of your health care information. In order for Neurology Group to maintain your medical record and coordinate your care, we need your permission.

The "HIPAA Privacy Practices Acknowledgement" form indicates that you have read and understand the "Notice Of Privacy Practices". The "HIPAA Authorization For Use And Disclosure Of Protected Health Information" form allows our physicians and staff to discuss the contents of your medical record with those you designate and your primary contact information.