Forms for New and Returning Patients

Welcome to Haynes Neurosurgical Group.  We want you to know that we appreciate the opportunity we are given to take care of you.  We will strive to provide you with the ease of access to care.  Your health and well-being is our number one concern. Please take time to familiarize yourself with our services, policies, and procedures so you can maximize your experience. 

Online:

When you made your appointment, you should have been provided with a login ID and password via email. If you have not received this information, please contact us. Once you've logged into the patient portal, please navigate to the Questionnaire section on the left, and complete the forms listed there.

Click here to access our patient portal, or find the button at the top left of our site.

In addition, all new patients must fill out a medical release form. Please find it below, or read more. This may be completed at the time of your visit.

Offline:

If you'd rather email, fax, or deliver your paperwork in person, please select which physician you are seeing to fill out the correct forms for your visit. If you have any questions about any of the forms or any of the processes in place, please call our office and any of our support staff members will be happy to assist you.

Haynes Neurosurgical Group Patient Packets

In addition, all new patients must fill out a medical release form. Please find it below, or read more.

Once you have filled out the appropriate forms, please mail, fax or email them to our office.

Haynes Neurosurgical Group Patient Forms (individual sheets)
Please only use the below forms if prompted by the office.