Forms

Paperwork for new patients

Make sure that you complete your packet of paperwork and send it to us via fax or mail before your first visit.

  • If you are scheduling your first appointment for headaches or migraines with Dr. Klein or Dr. Factor, fill out the Headache Packet.
  • If you are a caregiver for an Alzheimer’s/dementia patient, fill out the Dementia Packet.
  • Otherwise, download the standard New Patient Packet.

New Patient Packet

Headache Packet

Our policies

Financial information for all patients

Financial Disclosure

General Consent for Treatment

HIPAA Form

Records Release Form

Notice of Privacy Practices