Compassionate Neurological Care

Compassionate Neurological CareCompassionate Neurological CareCompassionate Neurological Care

Compassionate Neurological Care

Compassionate Neurological CareCompassionate Neurological CareCompassionate Neurological Care
  • Alzheimer's Prevention N
  • Meet Dr. Shah
  • Our Team
  • Scrambler Therapy
  • Before Your Next Visit
  • FAQ
  • Services We Provide
  • Scholarly activities
  • Values and Vision
  • More
    • Alzheimer's Prevention N
    • Meet Dr. Shah
    • Our Team
    • Scrambler Therapy
    • Before Your Next Visit
    • FAQ
    • Services We Provide
    • Scholarly activities
    • Values and Vision
  • Alzheimer's Prevention N
  • Meet Dr. Shah
  • Our Team
  • Scrambler Therapy
  • Before Your Next Visit
  • FAQ
  • Services We Provide
  • Scholarly activities
  • Values and Vision

Before Your Next Visit

Dear Patient,

 

We would appreciate it if you could fill out the below-mentioned forms before your visit to Dr. Shah and bring them with you to your appointment. Please do not leave anything blank. If it does not apply to you, write “None” or “N/A.” Filling out forms in advance will help us serve you in a timely fashion. It will also give you time to think about your medical history and ask other family members about pertinent family medical history.
 

Click on the appropriate form based on the symptoms that led to your appointment with Dr. Shah. (This is not a  complete list of conditions we care for)

Downloads

New Patient Intake Form (pdf)Download
New patient generic questionnaire (use this if your symptom specific form is not available below) (pdf)Download
Concussion - new pt evaluation form (pdf)Download
Dizziness Questionnaire (pdf)Download
Headache Questionnaire (pdf)Download
Memory Loss Questionnaire (pdf)Download
Neuropathy Questionnaire (pdf)Download
Obstructive Sleep Apnea questionnaire (pdf)Download
Spell - Seizure Questionnaire (pdf)Download
Stroke TIA Questionnaire (pdf)Download
Tremor Questionnaire (pdf)Download
Follow up patient questionnaire (pdf)Download

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Site Administrator Hemang Shah