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Neurological Services of Orlando, P.A.

Your Appointment
Download Patient Forms
Payment and Insurance || Hospital Privileges

Your Appointment

What to Bring

  • Your insurance card
  • Physician referral forms if required by insurance
  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history. A medical records request form may be required by the medical offices where your records are kept.
  • Any recent x-rays or appropriate records you may have.
  • A registration/personal history form will be mailed to each patient prior to the initial visit. To view this form see the Download Patient Forms section.

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Download Patient Forms

You can view and print the necessary patient forms for your appointment by following these easy instructions. In order to view and print the forms, you need to have the Adobe Acrobat ReaderTM, which may already be installed on your computer. If not, you can easily and quickly download a free version of Reader by going to the Adobe Acrobat Reader website.

Registration/Personal History Form

Patients are generally asked to complete a registration/personal history form on their first visit. Click here to view/print the Registration/Personal History Form.

Payment and Insurance

Neurological Services of Orlando is a provider for Medicare and most major insurance plans. We provide insurance billing; anything not covered by insurance will be responsibility of the patient or guardian.

We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at 407.240.1762, ext. 18. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

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Hospital Privileges

Neurological Services of Orlando has admitting privileges at the following hospitals:

  • Orlando Regional Healthcare System
  • Sand Lake Hospital
  • Arnold Palmer Hospital

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Refer a Friend

Neurological Services of Orlando, P.A.
Dr. Mark Klafter
Dr. Daniel Jacobs
Dr. Ahmed Sadek
Dr. Navin Verma

3849 Oakwater Circle
Orlando, FL 32806
Tel: 407.240.1762
Fax: 407.812.5869

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4106 Lake Mary Blvd.
Suite 305
Lake Mary, FL 32746
Tel: 407.732.6613
Fax: 407.878.1213

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