Patient Forms

Please print out and complete the following forms prior to your visit and bring them with you. If you do not have access to a printer, please let our staff know when you come for your appointment.

• Patient/Caregiver Questionnaire - Multiple Sclerosis patients only (PDF)
• Patient Questionnaire - New patient (PDF)
• Patient Consent and Authorization (PDF)
• Insurance (PDF)
  
  
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Tampa Neurology Associates' role is to give professional advice to doctors and patients regarding Neurological problems such as Stroke, Multiple Sclerosis, Alzheimer's, Migraines, and Parkinson's disease.

• Stephen Sergay, M.D.
• Susan Steen, M.D.
• Mark Cascione, M.D.
• Robert Wilson, D.O.
• Sunil S. Reddy, M.D.

What is a Neurologist
A Neurologist is a Physician who has specialized medical training in disorders of the nervous system. Neurologists care for patients with a wide range of problems including: headaches, dizziness, memory loss, seizures, blackouts, numbness, tingling, weakness, paralysis of muscles and incoordination of arms or legs. Neck, back, or head problems may also require an evaluation by a Neurologist.

Each physician cares for his or her own patients. Routine appointments will always be scheduled with your physician. If a problem occurs when your doctor is not on call, you will be seen by one of the other physicians. We will ensure that you will resume your care with your original physician as soon as possible.

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Office Visits
Your initial history and physical consultation is given the utmost time and care by your physician. We will review all past history, laboratory tests and complete a thorough neurological examination. If you are referred by a physician, a complete report will be sent to your doctor. Your follow up visits will consist of a review of your condition, test results and medications. Therefore, a complete list of all medications you are taking should always be brought with you to each visit.

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Memory Center
When occasional forgetfulness becomes chronic, the consequences may be serious. People may forget their medications, names or even the place of their residence. Not only may this kind of forgetfulness be life threatening for the individuals who forget, it is also worrisome for their loved ones as well.

The Memory center offers a comprehensive array of services to those suffering from memory loss and to those who care for them. To form a proper diagnosis our team of medical professionals carefully examines and evaluates each patient's memory loss through a series of three to four outpatient visits. Memory Disorders Support Group can assist with the problems of dealing with a loved one suffering memory loss by sharing resources, coping strategies and emotional support.

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If you would like to contact a physician for professional help and/or opinions please write to Headachecare.tna@verizon.net

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