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New Patient Paperwork
You will receive an email link from Elation, our electronic medical records (EMR) system, to complete your new patient paperwork online. Our forms are thorough, but Dr. Chalfin reads every one, so we ask that all patients fill out paperwork before their visit so as not to detract from your time with the doctor. Instructions for completing these forms are located here.
If you have difficulty submitting the electronic forms or would like to fill out the forms with pen and paper, all of our forms are below. Please select the packet that best fits the reason for your visit.
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You can submit the forms in person, via fax (561-898-1710), or email (hello@idealneurology.sprucecare.com).
Headaches
For patients with head pain, headache, migraine, or similar.
Memory Loss
For patients with cognitive issues. Loved ones fill out pg 18-21.
Tremors
For patients with tremor or Parkinson's.
Other Chronic Pain
For patients with chronic pain besides headaches.
Seizures or Spells
For patients with seizures, spells, or blackouts, or similar.
Everybody Else
For patients whom none of the previous categories fit.
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