Thank you for selecting Tidewater Neurologists, Inc. and Sleep Disorder Specialists as your health care provider.

All patients must complete our Patient Registration form and sign all policies before seeing a physician.

If your insurance requires a referral, please bring it to you appointment. You will not be seen without the referral.

For your convenience, the forms are provided to download, print and fill out before your appointment.

Please print out and fill out ALL forms below and bring them to your appointment.

Consent to Participate in Telemedicine Consultation
Patient Registration
Medical History and Physical Form
Financial Policy
Patient No Show Cancellation Policy
Prescription Medication Policy
Urine Drug Screen Form
HIPPA Privacy Practices
Medical Records Release Form

If coming for a sleep evaluation, please print the Sleep Evaluation Form and completely fill out this form and bring to your appointment.  If you are using a CPAP, make sure to still fill out the Sleep Evaluation Form below on how it was when you were not using CPAP to help us define your baseline symptoms.

Sleep Evaluation Form
All Forms (Sleep Evaluation Patients)
All Forms (Neurology Patients)
Urine Drug Screen Form