Forms

New Patient Forms and Policies

IF YOU ARE A NEW PATIENT AND HAVE ALREADY SCHEDULED YOUR FIRST APPOINTMENT....

Please click on one of the evaluation packets below to print, complete and bring to your first appointment.

New Patient Evalulation Information Packet - PDF

Concussion Evaluation Appointment Packet - PDF

Please note, if you are scheduled for a Concussion Evaluation,  you only need to complete the "Concussion Evaluation Appointment Packet" - you DO NOT need to complete the "New Patient Evaluation Information Packet."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

ALL NEW PATIENTS:  

Please read the NERA Patient Policies prior to your appointment as you will be asked to electronically sign an acknowledgment of these policies. Thank you.  

NERA Patient Policies - PDF                                                                                                                                                                                                                                                                                                                                                                                          

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Independent Medical Exam (IME) Request Forms

Please click a link below to fill out an IME Form

IME Form - Editable PDF Format

IME Form - MS Word Format

OR

Click HERE to fill out the IME Form Online

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