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!



You have the option for Online Submission or PDF for select forms. For online submissions, any missing/incomplete/inaccurate information will require resubmission or in-person review.


You can choose to complete the PDF online, print and sign once completed or you can print the PDF and provide handwritten responses. Please bring the form to your visit, mail or fax to us. 

*Online form submissions are currently unavailable, we apologize for the inconvenience.



If you are a new patient, we are unable to process Medicaid Travel per Medicaid. It is your responsibility to contact your primary care provider to arrange Medicaid Travel. 

Medicaid will provide travel once per month per specialty. If you have multiple appointments with us, notify us immediately. 

Allow adequate time for processing. For cab vouchers, provide at minimum one week's notice; for hotel and/or air travel, provide two weeks' notice. Once travel is approved, it is patient responsibility to book airline ticket(s) and/or hotel room(s). 

Notify the clinic immediately of any cancellations or rescheduling of your appointment(s). 

We cannot guarantee that Medicaid will provide travel even if requested within the above parameters. If Medicaid denies travel, it is the patient's responsibility for adequate transportation to and from appointment(s). 

It is advised that you initiate and/or confirm Medicaid Travel arrangements with our office at time of appointment scheduling. 

Travel vouchers will not be mailed unless you require air travel to Anchorage.  




Printable Handouts

External Resources

This website may contain general information relating to various medical conditions and their treatment. Such information is provided for information purposes only and is not meant to be a substitute for advice provided by a doctor or other qualified healthcare professional. Patients should not use the information contained herein for diagnosing a health or fitness problem or disease. Patients should always consult with a doctor or other healthcare professional for medical advice or information about diagnosis and treatment. 

Copyright © 2019. All Rights Reserved by Neuroversion