Appointments
We will make a sincere effort to honor your appointment time. Unfortunately, emergencies do arise which occasionally cause delays in our schedule. Under these circumstances we ask for your patience and understanding. Our office hours are 9:00 a.m. to 5:00 p.m. Monday through Friday. If you need to cancel an appointment, please call our office at least 24 hours in advance. This will enable us to schedule another patient for this time and avoid a possible service charge to you.
How You Can Help
We are aware that you may not be feeling well; but you are able to be of assistance to us. Notify our office as soon as possible when your address, phone number, marital status or insurance coverage changes. Check your billing statement carefully and if you suspect an error, kindly let us know. Please be prompt for your appointment so that all patients can receive the individual attention that they deserve. We thank you, in advance, for your understanding and cooperation.
NeuroTherapeutic Modalities
- Pharmacological Treatment
- Botox Therapy for Migraines
- ENG is a test to measure your eye movements and check the health of your cranial nerves. It involves placing electrodes around your eyes, which measure your nerve function.
- EEG - Electroencephalogram - A test that measures & records the electrical activity in the brain, looking for any physical or chemical abnormalities. This test takes approximately 1 hour & involves pasting small electrodes on the scalp.
- 72 Hour EEG/Ambulatory EEG. An EEG which records onto a cassette or memory chip for a 72 hour period. Patient wears the small recorder home on a belt around the waist & returns the next day to have the machine removed.
- EMG - Electromyography. This test evaluates your muscles for abnormalities, using a small pin inserted into various muscles. It is somewhat uncomfortable and usually done in conjunction with the NCS.
- NCS - Nerve Condition Study. These tests evaluate the nerves in your arm or leg, using a small amount of current to stimulate the nerves. The responses are recorded. This test is somewhat uncomfortable and is usually done in conjunction with an EMG. The EMG & NCS can take anywhere from 30-90 minutes.
- The TM FLOW SYSTEM is a non-invasive diagnostic tool that can be used to measure ABI or Ankle-Brachial Index. ABI is a measure of how well blood is flowing to the extremities and is an important indicator of peripheral artery disease.
- Sudoscan is a non-invasive test that is used for assessing peripheral neuropathy. This condition occurs when there is damage to the nerves outside of the brain and spinal cord. Specifically, the test allows us to measure the activity of your sweat glands when stimulated through your peripheral nerves.
- Cognitive Assessment - done on an iPad here in our office - runs thru a series of tests for memory and cognition functions.
- Sleep Study are also done here in our office in all 3 locations - for more information, please click on Capitol Sleep Centers at the top of this page.
Our Billing Policy
In order to keep our patient care charges reasonable and to reduce our overhead expenses, we expect payment at the time of each visit. We accept cash, personal checks, Visa and Master Card, Discover and American Express. We are available to assist you with the completion and submission of your insurance forms, but this is your responsibility. This also applies to diagnostic testing as well as laboratory services. We are aware that special arrangements may be necessary and this can be discussed with the patient coordinator at the time of your appointment.
Prescription Refills
Please make sure you schedule your follow-up appointments in advance to avoid running out of your medication. Also, ALL controlled medications require a scheduled appointment for the medication to be refilled
Telephone Calls: During and After Hours; Emergencies
Our professional staff has been trained to assist you when you call. If a return call is necessary, please leave your full name, date of birth and phone numbers so you can be contacted. After hours, in the event of an emergency, please call 911 or go to your nearest hospital or emergency room. Urgent matters you will have the option to reach the on-call physician
Your Complete Neurological Examination
Due to the complex nature of the nervous system, each examination may vary depending upon your problems and your history. The initial exam may include the assessment of muscular strength, mobility, reflexes, sensation, vibration, coordination, balance, memory, vision and speech. Your treatment and possible future testing are determined by the findings obtained during this examination.
Your Initial Visit
During your first visit you will be asked to furnish us with general information and complete a detailed medical history which may include: current medications, allergy history, details about your current problems, prior medical history, hospitalizations and surgeries. You probably will have been instructed to bring with you all pertinent prior medical tests and results, including the actual films from X-rays, MRIs and CT scans. Our physician prefer to personally review these films after meeting with you, obtaining a detailed history and performing a physical examination.