PATIENT RESOURCES

NEW PATIENT FORMS & RESOURCES


You have the option to fill out your patient forms ahead of your visit.
Please click the links to download the PDF of each form, print and fill them out to bring them with you to your next visit.

New Patient Form
Download PDF link below and fill out.

New Patient Form – English

New Patient Form – Spanish

Record Authorization
Download PDF link below and fill out.

Record Release Authorization Form

Medical Release
Download PDF link below and fill out.

Medical Release Form

Accepted Insurances
Download PDF link below and fill out.

Accepted Insurances List

 

Office Policies

APPOINTMENTS

When calling for an appointment, please provide your name, telephone number, chief complaint/reason for visit, as well as any updated contact or insurance information. We ask that new patients arrive 15 minutes before your scheduled appointment time to fill out necessary paperwork. Please check your insurance card to see if referral is necessary for the initial appointment. Follow up appointments may be required to be scheduled after testing has been completed.

CANCELLATION OF AN APPOINTMENT

If you are unable to attend an appointment, please notify the office at (631) 230-6644 at least 24 hours before your scheduled appointment time.

NO SHOW POLICY

Failure to cancel your appointment with the office of McMonigle Neurology Associates at least 24 hours prior to your scheduled appointment time will result in a “no show” fee of $50. This fee must be paid at the time of your next appointment.

PAYMENTS

McMonigle Neurology Associates accept cash, personal checks, MasterCard, Discover, Visa and American Express. Checks can be made out to McMonigle Neurology Associates.

PRESCRIPTION REFILLS AND PHARMACY INFORMATION

Please inform McMonigle Neurology Associates of which Pharmacy you use and update us if this should change. Please allow one to two business days for refill requests. We encourage our patients to review their medications prior to their office appointments and to request refills at that time, if needed.