Forms

To Save you time during your visit, please print out and complete the following new patient forms listed below.  Please bring the completed forms with you to your appointment.  You may also scan and email the completed forms to frontdesk.bethesda@gmail.com.

In addition to the New Patient Forms, health insurance companies require you to bring the patent's photo id (unless a minor), insurance card(s), and any referrals your insurance company may require.  If you are unsure if your insurance requires a referral, please contact your insurance company.

Please bring MRI and CT images on CD or xray film (Not just reports) and any lab work related to your Neurological/Neuro-Ophthalmological issue(s).  Dr. Katz often revews your MRI and CT scans himself and may find an abnormality not noted in the written reports.

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First Visit

*Fill in the name and strength of all prescription medication AND over-the-counter supplements used within the past 6 months, as well as allergies.

*Bring test results: MRI and/or CT images (CD or xray film) NOT just reports (Dr. Katz often reviews the actual images himself), lab results, consultation letters from other specialists, and a a personal timeline/diary of symptoms and testing to date.

*In order to best prioritize appointments and ensure that Dr. Katz is the right neurological specialist for you, before we can make an appointment, your referring physician will need to fax your records to our office at 866-328-4322 or email our records to Frontdesk.Bethesda@gmail.com prior to making a new-patient appointment.

*New patient forms - see link above.  If you do not bring the completed forms with you to your appointment, please arrive 15 minutes early to complete the new patient forms.

*Photo Identification is required by all insurance

*Insurance Card(s)

*If you are not the insurance policy holder, we will need the name and date of birth of the policy holder.

*Insurance referral forms if you are covered by a HMO.

-Co-pay or coinsurance - we accept cash, check, Visa, Mastercard, and Discover.

Please allow 45 minutes to 1.5 hours for your first visit to our office.  Typically a follow up visit lasts 15 to 30 minutes.