New Patient

Welcome to the Center for Neurology and Neurophysiology, P.A. In the patient packet, you will find forms to document your patient history and previous medical information, a consent form to release medical information, and a privacy notice. To ensure you are seen in a timely manner, these forms should be completed prior to your appointment. Please pay special attention to your current medications and include dosage and frequency in the medication section. Once you have completed filling out the packet on your computer, please print, sign, and bring it with you to your appointment. If you are a first-time patient, please show up twenty minutes early to your appointment.

 

COVID-19 Precautionary Information

Coronavirus disease 2019 (COVID-19) and you – Center for Disease Control (CDC) 

SHARE FACTS ABOUT COVID-19 – Center for Disease Control (CDC) 

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Patient Packet

New Patient Packet

(paquete de nuevo paciente en español)

 

Headache Patient Packet

New Headache Patient Packet ** Please complete if you are being seen for migraines, chronic migraines or headaches. **

 

Documents for The Center for Neurology and Neurophysiology, PA

Document(s) for The Center for Neurology and Neurophysiology, PA –  After selecting the document type select the file, click the upload button to upload it. You may upload Click the X to delete a file. You may upload up to ten files. (.jpg,.png,.bmp,.tif,.pdf)

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Additional Forms

Medical Release Form – Records needed for continuing care purposes will be sent directly to the physician we refer you to upon their request. For all other providers, our office will need you to sign a Medical Release Form. Requests for medical records for reasons other than continuing care require a $25 Medical Request Fee be paid in advance of your request.

 

EMG Referral Form – A number of disorders are better identified and more effectively diagnosed using Electromyography and Nerve Conduction Studies in conjunction with Magnetic Resonance Imaging (MRI). Please consider referring your patients for EMG/NCS testing to help you deliver an accurate diagnosis in confidence. Our Board Certified Neurologist is fellowship trained in neurophysiology.

 

HIPAA notice 

Notice of Privacy

 

Participating Insurance

We are continuously adding new insurance carriers to our list. If your insurance provider is not listed here please call us at (214) 494-4424 to speak with one of our staff members about your particular insurance type.

IN-NETWORK
  • Aetna HMO/PPO
  • Aetna Medicare – HMO with a referral
  • Baylor Scott and White Employee Plan – CIGNA
  • Baylor Scott and White HMO/PPO
  • Beech Street PPO
  • Blue Cross Blueshield PPO/POS/HMO/HMO Exchange Plan
  • Blue Advantage; Blue Choice PPO; BlueOptions; Blue Essentials (fomerly HMO Blue Texas); Blue Essentials
  • Access
  • Bravo Health Medicare Care Improvement Plus
  • ChoiceCare (Humana) Concentric Network
  • ChoiceCare (Humana) Medicare
  • Medicare Advantage
  • ChoiceCare (Humana) HMO/PPO
  • Choicecare Medicare Advantage PFFS
  • Cigna HMO/PPO
  • Cigna Local Plus (Dr Ulrich)
  • FEDMED PPO
  • FirstHealth/Coventry Network PPO
  • FirstHealth/Coventry Medicare Advantage
  • Galaxy Health Network PPO
  • Galaxy Health Network Medical Savings Card
  • HealthSmart PPO-POS / Accel-GEPO
  • Independent Medical Systems
  • Optum Health
  • Medicare as a Non-Participating Provider
  • Medicare Railroad
  • PacifiCare
  • PlanVista Solutions PPO
  • Texas True Choice PPO
  • United Healthcare and Affiliates HMO/PPO
  • United Healthcare Charter
  • United Healthcare and Affiliates Medicare
  • Molina Exchange Plan

 

OUT-OF-NETWORK
  • Ambetter
  • Aetna QHP
  • Baylor Scott and White Aetna
  • Baylor Scott and White BCBS
  • Baylor Scott and White Baylor Quality Alliance (BQA)
  • Oscar
  • Texas Health Aetna

 

WHAT WE OFFER

Services

Migraines

more info -->

Botox for migraines

more info -->

Botox For Blepharospasm

more info -->

Botox For Cervical Dystonia

more info -->

Telemedicine

more info -->

Anti-CGRP Injections 

more info -->

SPG Block 

more info -->

EEG 

more info -->

EMG

more info -->

Nerve Conduction Studies

more info -->

Epilepsy

more info -->

Neuropathy

more info -->

Multiple Sclerosis

more info -->

Seizures

more info -->

Carpal Tunnel 

more info -->

Muscle Trigger Points 

more info -->

Ambulatory EEG

more info -->

VNS Therapy

more info -->

DBS Therapy

more info -->

Post Stroke Treatment

more info -->

7000 Parkwood Blvd, Ste F100
Frisco, TX 75034
109 River Oaks Drive, Ste 109
Southlake, TX 76092

© Copyright 2020 | CNN Texas 

The Center for Neurology and Neurophysiology, PA, Frisco, TX

Phone (new patient appointments): 214-494-4424 ext 2 | Fax: 214-494-4423

Address: 7000 Parkwood Blvd, F100, Frisco, TX 75034
The Center for Neurology and Neurophysiology, PA, Southlake, TX

Phone (new patient appointments): 817-379-9922 ext 2 | Fax: 817-379-9998

Address: 109 River Oaks Dr., Suite 150, Southlake, TX 76092