NEURODIAGNOSTIC CONSULTANTS, LLC.

Olga O. Brusil, MD Neurology & Clinical Neurophysiology
Home     Physician Information     Patient Satisfaction     Patient Library     Patient Registration     On-Line Payment     Location & Contact     Links     Privacy Policy     Terms of Use      
 PATIENT REGISTRATION 
 
You may fill out our Registration Forms online and print them.
 
Once you have completed and printed the forms, please sign them in pen.
 
Adobe Reader is required to view these documents.  If you do not have Adobe Reader, please download it free of charge here.
  
Please remember to bring one form of identification (driver's license, state identification card or passport) and medical insurance card(s).
 
 
REQUESTING MEDICAL RECORDS FROM NEURODIAGNOSTIC CONSULTANTS, LLC.
 
If you need to request your medical records from Neurodiagnostic Consultants, LLC., please complete the following form and fax it to Medical Records at (847)296-5093.