What to Bring to the Appointment

• Patient's insurance card
• Physician referral forms, if required by insurance
• List of prescriptions and/or over-the-counter medications, including dose and frequency
• Information about the patient's medical and surgical history
• Recent x-rays or relevant records

Insurance and Payment Information

Greystone Neurology and Pain Center is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Patient Forms

To download the forms, use the links below to open the file. You will then be able to print them out. [printable page troubleshooting]

Patient Information (PDF)
Medical History Form (PDF)
Confidential Patient Record (PDF)
Acknowledgement of Receipt of Privacy Practices