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For Patients

Forms

Your appointment with Center for Neurology and Spine will be easier if you come prepared with the appropriate forms completed. Please also remember to bring any imaging reports, recent laboratory studies, or any other diagnostic testing with you. We appreciate your help in this matter.

If you are a new patient, download, print and complete the following forms prior to your appointment with us. We look forward to seeing you in one of our locations soon.

Referring Physicians
CNS welcomes the opportunity to partner with referring physicians in caring for your patients.

Please contact us at 602-482-2116 between 8:00AM and 4:30PM Monday-Friday to obtain information on our clinicians and services, schedule and confirm patient appointments, or receive assistance in the resolution of any service-related issues.

When contacting us to schedule your patients, please have the following information readily available:

  • Patient demographic information
  • Reason for visit
  • Any special needs that will require facilitation once the patient arrives
  • Patient insurance information

We will work with your patient to complete registration process and to schedule an appointment at the patient’s convenience. You will receive a dictation/note for each visit or procedure that is performed on your patient. Together as a team, we can achieve the best possible outcome for our mutual patients.

Please note, CNS and/or its providers may not be contracted with all plans within each carrier. Please check with your insurance to verify. If you have further questions about an insurance plan not listed, please call us at 602-482-2116 , we accept many more plans than listed below but please call to verify. 

Aetna
AHCCSS
Arizona Complete Health -Allwell, Ambetter
Ameriben
Blue Cross Blue Shield
Cigna
Humana
Medicare
Medicare Advantage/Replacement Plans
Mercy Care
Tricare
UnitedHealthcare
UMR