Patient Information

Tampa Bay Neurology is now accepting New Patients

Please contact us to schedule an appointment. Please be prepared to provide the patient’s name, address, phone number, date of birth, type of insurance, reason for appointment and referring physician when calling to schedule an appointment.

Hospital Affiliation

Memorial Hospital of Tampa

Tampa Community Hospital

Your First Appointment

Please arrive early so we can complete your initial paperwork and bring the following:

New patient forms – completed
Insurance card
Driver’s license
Medical records

Physician referral forms – if required by insurance
MRI and CT reports – if applicable
MRI and CT films or CDs – if applicable
Current medication list

New Patient Forms: All of the forms that are required for your first visit are available by clicking on the buttons below

New Patient- Registration Forms

New Patient- Portal Authorization Form

New Patient- Auto Accident Forms

Authorization to Release Medical Information Form

NCS-EMG Consent Form

Insurance Information

Please call our office for up-to-date insurance list that we accept at this time. Questions regarding insurance coverage and benefits should be directed to your insurance company or employer.

Privacy Practices

Our privacy practices describe how medical information about you may be used and disclosed. A copy of our privacy policy is given to all new patients and a copy is available upon request. Please click the button below to review notice of privacy practices.