When scheduling, please allow at least 2-3 hours for your visit. More time may be needed for extra testing, and you may need breaks scheduled to get a meal or snack.

NEW PATIENT APPOINTMENTS

Please read through the requirements listed.
We welcome you to print and fill out the documents prior to your appointment.

Items to bring with you:

• Insurance card
• List of drugs you are taking
• List of prescriptions that need to be refilled
• Forms filled out (see these for download here on our website)
• List of any new symptoms
• List of old symptoms that have not improved
• List of any changes to your personal or professional life/life changes
• Requests for any test results you have not yet seen, and a list of questions you have for the doctor.

Requirements

• A referral from your Primary Care Provider
• Most recent 6 months medical history to include
  • All imaging (MRI, CT, X-ray, etc) on a disk
  • All lab tests and results
  • Current insurance information
  • Current medications

If you are a Medicare patient, please fill out this form.

Patient Medicare Quality Measure Questionnaire

These forms will assist you in providing the information listed above.
Please print and fill out these documents prior to your appointment.

• Patient and Insurance information.
• Current medical information required for each visit.
• HIPAA questionnaire for Patient and Caregivers.
• Required form for release of health history from another provider to ANI.

Once we receive referral paperwork, we will schedule an appointment and send you a new patient packet.

CURRENT PATIENTS

If you are already a patient at Advanced Neurosciences Institute and would like to make an appointment, please call us at 615.791.5470 to schedule it.

Please bring the following to your appointment:

• Your current photo ID
• Insurance cards
• Prescription cards
• Lab Results, imaging, and tests done by other doctors
• List of current medications
• Snacks if needed

Your required paperwork for each visit is available below,
if you would prefer to complete it before your appointment.

• Patient and Insurance information.
• Current medical information required for each visit.
• HIPAA questionnaire for Patient and Caregivers.
• Required form for release of health history from another provider to ANI.

If you need your records to be released to a preferred provider or referral, please fill out this form and submit it to us via frontdesk@neurosci.us
Required form for ANI to release health information.