Download the child/adolescent patient insurance form »

the adult patient insurance form »

Download the Financial Policy »

As a courtesy, we will file your insurance. Please bring one of the above forms to your appointment, along with your insurance card and insurance carrier’s complete address.

You must pay your deductible and any co-pay in full at each office visit. Memphis Neurology accepts cash, check, MasterCard, Visa, AMEX and Discover Card. If you are unable to pay in full, let us know. We can set up a monthly payment plan.

If your insurance plan requires a referral, please bring a current referral with you on the date of visit. If you do not have the required forms, your appointment will be rescheduled.