Forms

Paperwork for new patients

This packet should be completed and sent to us before your first visit:

New Patient Packet

If you are scheduling your first appointment for headaches or migraines with Dr. Klein or Dr. Factor, fill out this packet and send it back to us:

Headache Packet

For caregivers of dementia/Alzheimer’s patients:

Our policies

Financial information for all patients

Financial Disclosure

General Consent for Treatment

HIPAA Form

Records Release Form