North Country Neurology PC

Patient Portal (Please Click On Icon To Access The Patient Portal)

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

• Patient's insurance card

• List of current prescriptions and/or over-the-counter medication, including dose and frequency

• Information about patient's medical and surgical history

• Recent test results, x-rays, or relevant records

Patient Forms

• New Patient Packet Form

• Medical Records Request Form

• Financial Agreement Form

• Telemedicine Consent Form

Insurance and Payment Information

North Country Neurology PC is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practice describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.