NEW PATIENT INTAKE FORMS
Based on your chief complaint, we have a specialized client application for your to complete. Please call our office to receive either a form you can fill out via computer or a hand-written form based on your choice.
Call our office to reserve your appointment. (586) 731-8840
NOTE: brain mapping fee is paid at the time of appointment reservation.
Our staff will email the appropriate intake forms to you.
In compliance with HIPAA regulations, you can send us your Protected Health Information (PHI) via our secure portal http://JCNN.leapfile.com
Brain Mapping Hours
In order to secure the highest quality test results, brain mapping is only performed in the morning. Our testing schedule is as follows:
Monday, Wednesday, and Thursday from 9:00 am – 11:30 am
PATIENT FINANCING OPTIONS
Care in our office is considered ELECTIVE and not covered by insurance
We offer a single payment discount or low monthly payments through Health Credit Serivces (HCS) Financing and CARE CREDIT and You may qualify for interest-free options based on your credit score. No application fees.
Want To Schedule Your Brain Map?