Tulsa Neurology Clinic sees patients by physician referral only. Please have your physician’s office make a referral.
Physician Referral Form
We try to see patients within a few weeks of the referral and are happy to put you on a cancellation list if an opening becomes available sooner.
What to Bring to the Appointment
- Your insurance card (s)
- Your driver’s license or photo identification
- Physician referral forms if required by your insurance
- A list of current prescriptions AND/or over-the-counter medications you are taking… please include the Dose and Frequency
- Pertinent information about your medical and surgical history
- Any recent X-rays, MRIs or PET scans (actual film preferred)
- Any recent lab work
Policy for Failed Appointments and Cancellations
As with most specialists, our practice has a waiting list. We know you appreciate being able to be seen as quickly as possible, so please let us know when you cannot make your appointment so that someone else may utilize that time.
We try to be understanding and rarely do charge for missed appointments, but it is important that you understand our cancellation policy and the fact that we may charge you for missing your scheduled time.
Failed Appointments:
- No-Show, no-call or inadequate reason for missing
- Late without ability to work-in or refusal to wait
- Failure to cancel 24 hours prior to appointment
Charges for Failed Appointments:
Initial Consultation – $285 fee
Follow Up Visit – $50 fee
These charges not not covered by insurance and will be billed directly to the patient.
Cancellation Policy: Must call in person, leave message or fax within 24 hours of appointment.
Rescheduling: With a timely call or appropriate reason, rescheduling will be allowed.
Discharge: We are concerned about your healthcare and wish to continue providing for your care at your request; however, if you have 3 or more failed appointments without proper notice we do reserve the right to dismiss you from care in our office.
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