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NEW PATIENT REGISTRATION

Welcome to Millman Neurology!

First, call us to schedule your appointment., then after you have made an appointment:

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1) Download, PRINT, and complete the Consent Form by clicking here ------------------------------->

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2) Download, PRINT, and complete the New Patient Intake Form by clicking here ------------------->

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3) Download, PRINT, and keep a copy of our HIPAA Privacy Practices by clicking here --------------->

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4) Please remember to bring to your appointment:

  1. Completed Consent and New Patient Intake forms

  2. ID & Insurance Card(s)

  3. Medication List

  4. A copy of all previous neurology records, including test results

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Please call us if you have any questions.

We look forward to meeting you in the office!

Millman Neurology

Address

6770 Dixie Highway Suite 305
Clarkston, MI 48346

Contact

248-256-5000 phone

248-257-0482 fax

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