We offer our forms online so that you can complete them at your convenience. Upon making your booking, Dr Stefan Billing will advise you which forms you need to complete.
New Patient Health History
We would like to know a little bit about you before you come in, so please fill out the form below.
Functional Neurology Health History
Here, we will ask a few specific neurology questions about your background.
Vestibular Health History
This form is to find out some specifics about your vestibular health history.
Neurology Risk Waiver
There are risks associated with any medical care you receive and we want to make sure you are aware of all of them before you come to see us.
An information sheet which outlines the basics of what functional neurology is all about so you are well informed before you come in!
Male Intake Form
For males to complete when requested. Male specific questions.
Female Intake Form
For females to complete when requested. Female specific questions.
Infant Examination Form
This form is to be filled out in conjunction with Dr Stefan Billing.