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Current Patients

Below are Neuroversion's commonly used forms and patient education. To stay up to date when new material is added to our website, check out our blog!

PATIENT INFORMATION & FORMS

Forms

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You can securely send your completed forms here.

E-mail Communication Agreement

Your Health Information Rights

Notice of Privacy Practices for
Protected Health Information

Acknowlegdement of Receipt of Notice of Privacy Pratices

Release of Records to Neuroversion
Use this form to allow outside clinics to release your records to Neuroversion

Release of Records from Neuroversion
Use this form to allow Neuroversion to release your records to outside clinics or self

EDUCATIONAL MATERIALS

Patient Education

Printable Handouts

Pain Management

Buprenorphine for Pain

Harmful Interactions

Oral Supplements for Peripheral Neuropathy

Chronic Pain

Stop Smoking Before Surgery

Smoking Cessation

Sleep Hygiene

External Resources

American Academy of Pain Management

National Headache Foundation

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