Patient Forms
For your convenience we have provided a link to our forms so you can print and complete the forms before your visit. Please remember to bring the completed forms, insurance card(s), and current medications with you on your first visit. Please print the following forms:
Patient Information Form [PDF]
Complete this form to register as a new patient at Newport Beach Neurologists. Please bring it to your first appointment.
Health Questionnaire [PDF]
Provide detailed information about your medical history to help us tailor your care plan effectively.
Migraines
If you have migraines/headaches, please complete the additional questionnaire below.
Headache Questionnaire [PDF]
Please fill out all of this 3 page document.
Other Forms
Common Questions About Patient Forms
Find answers to your questions about our patient forms to make your visit smoother.
How do I access the patient forms?
You can access all necessary patient forms on our website under the ‘Patient Forms’ section. Simply click the link to download the forms you need.
Can I fill out the forms online?
Currently, our forms are available for download and print. Please fill them out and bring them to your appointment.
What if I forget to bring my forms?
If you forget your forms, don’t worry. We have extra copies available at the office, but arriving with completed forms will save you time.
Who can I contact for help with the forms?
If you have any questions or need assistance, feel free to contact our office at (949) 759-8001.
Schedule Your Appointment Today
Discover how our expert care can make a difference in your life. Schedule an appointment with Dr. C. Philip O’Carroll and explore the comprehensive neurological services we offer.