Thomson Memory & Attention
BOOK APPOINTMENT

Forms

Forms & Policies


Pre-Visit Checklist and Questionnaires

Before Your Appointment

Before your visit with us, please make sure to bring the following required documents with you:
  1. A completed pre-visit questionnaire.
  2. Any pertinent medical records that you may have. If these are not readily available, a "Release of Information" form will be provided at your appointment for Thomson Memory & Attention to obtain your records.
  3. Insurance cards.

The appropriate pre-visit questionnaire for your visit can be found at the links provided. Please follow these instructions:
    1. Select the correct link
    2. Download the form and save it to your computer
    3. Open the form you just saved to your computer
    4. Fill out the entire form
    5. Save the form
    6. Print the form to bring to your appointment
BOOK APPOINTMENT
Share by: