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Wesley Neurology Clinic Marc E. Hoffmann, MD, FCC, FASM Adult Initial Questionnaire Name: Date: Insurance Carrier: Referring Physician: Birth date: Age: Sex: Marital Status (circle): Single Married
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01
Gather all necessary personal information such as name, date of birth, address, and contact information.
02
Call the Wesley Neurology Clinic to schedule an appointment.
03
Arrive at the clinic on the scheduled appointment date and time.
04
Fill out any required paperwork provided by the clinic. This may include medical history forms, insurance information, and consent forms.
05
Provide accurate and complete information on the forms.
06
Review the filled-out forms for any errors or missing information.
07
Submit the completed forms to the clinic staff.
08
Wait for your turn to see the neurologist. You may be called in by the clinic staff or nurse.
09
Follow any additional instructions or procedures provided by the clinic during the appointment.

Who needs wesley neurology clinic?

01
Anyone who requires neurological care or consultation may need the Wesley Neurology Clinic.
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This can include individuals with conditions such as epilepsy, Alzheimer's disease, Parkinson's disease, multiple sclerosis, stroke, migraines, and other neurological disorders.
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People experiencing symptoms like severe headaches, numbness or weakness, difficulty speaking or understanding speech, memory problems, coordination issues, or changes in behavior should consider seeking neurology services at the clinic.
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Wesley Neurology Clinic is a medical facility specialized in treating neurological disorders.
Patients with neurological disorders or symptoms requiring medical attention are required to visit Wesley Neurology Clinic.
To fill out Wesley Neurology Clinic, patients need to schedule an appointment, provide medical history, and undergo a neurological examination.
The purpose of Wesley Neurology Clinic is to diagnose, treat, and manage neurological disorders to improve patients' quality of life.
Information such as patient's medical history, symptoms, diagnostic tests, and treatment plans must be reported on Wesley Neurology Clinic.
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