Patient center
Download and complete required patient forms before your neurology appointment at Charis Neurology.
* Board-certified neurologist and fellowship-trained neuro-oncologist* On-site MRI, EEG, EMG, and infusion therapy* Lake Mary care for patients across Central Florida
Forms in English and Spanish
Bring ID and insurance
Arrive prepared
Call with questions
Before your visit
Key details from the Charis Neurology live site, organized for clearer reading in the new design system.
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New patients at Charis Neurology are asked to complete a set of patient intake forms before their first appointment. These forms allow our neurologists to review your medical history, medications, prior testing, and insurance information in advance, helping ensure a focused, efficient, and meaningful consultation.
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Please review and complete all applicable forms prior to your appointment.
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This document describes how medical information about you may be used and disclosed and explains your rights regarding access to your protected health information. Patients are encouraged to review this notice carefully.
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This form allows patients to authorize the disclosure of their medical information to a designated individual, company, agency, or healthcare facility, when applicable.
Required patient forms
Please review and complete all applicable forms prior to your appointment.
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Describes how medical information may be used and disclosed and explains patient privacy rights.
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Allows patients to authorize disclosure of medical information to a designated person, company, agency, or healthcare facility.
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Provides consent for treatment, communication by phone, email, and text, and acknowledgement of financial responsibility.
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Optional form to designate preferred contacts for communication related to your care.
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Explains patient financial responsibility for medical services provided, regardless of insurance eligibility or coverage determinations.
Language services
Charis Neurology is committed to providing meaningful access to care for all patients, including individuals with limited English proficiency. Language assistance services are available at no cost to patients and are provided upon request.
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Please contact our office before your appointment if you need language support or help with patient forms.
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For additional information, please review the Notice of Nondiscrimination available through Privia.
Prepare for your appointment
Preparing ahead allows your provider to focus on understanding your symptoms, diagnosis, and treatment plan.
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Review and complete all required patient forms in advance.
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Bring a valid photo ID and insurance card.
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Bring a current list of medications and dosages.
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Bring prior neurological imaging or test results, including MRI, CT, or EEG, if available.
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Arrive at least 15 minutes early if forms were not reviewed ahead of time.
New Patient Information
If this is your first visit to Charis Neurology, review scheduling, referrals, and what to expect before your initial consultation. Charis Neurology serves patients across Central Florida, including Sanford, Longwood, Heathrow, Oviedo, Winter Park, and surrounding communities.
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For questions about patient forms or language services, please contact our office prior to your appointment.
Good to know
Still have a question? Call us at (407) 603-1633. Our team responds within one business day.
Yes. Completing patient forms before your appointment reduces delays and gives your provider more time to focus on your care.
Yes. Several forms are available in Spanish through Privia.
Patients who arrive without completed forms may be asked to arrive early or may experience delays during check-in.
Bring a photo ID, insurance card, medication list, and any prior imaging or neurological test results, including MRI, CT, or EEG when available.
Only individuals or organizations you authorize through the release form may receive protected medical information.
Stop waiting. Start healing.
Our team responds within one business day. For urgent concerns, please call us directly.
