Neuron Medical Corporation Liliana Cohen, M.D. Kaditam V. Reddy, M.D. Dolly B. Roy, M.D., Ph.D

What to Bring to the Appointment

• Your insurance card
• Physician referral forms if required by insurance
• A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or appropriate records you may have

Insurance and Payment Information

Neuron Medical Corporation is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility.

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 the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

Dr. Cohen, Dr. Reddy and Dr. Roy are affiliated with the following medical facility:

• Los Robles Hospital & Medical Center, Thousand Oaks, CA
• Dr. Roy also maintains privileges at Northridge Hospital Medical Center

Patient Forms

Click on the following links to download and print our patient forms.

If you have a headache, fill out the following forms:

1. New patient forms
   1. New patient information form [PDF]
   2. Patient history form [PDF]
   3. Arbitration contract [PDF]

2. Referring physician form
   1. Neuro-test-order form [PDF]

3. Other forms
   1. Low tyramine diet [PDF]
   2. Headache history form [PDF]

Visit the National Headache Foundation for more information.

Directions

For directions to our office.

Privacy Practices

Notice of Privacy Practices for Neuron Medical Corporation
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.