Carolina Neuropsychological Service
Neurocognitive Evaluation & Cognitive Rehabilitation
Specializing in assessment and treatment of brain damage and disorders
Home

Definitions

Services Provided

Testing & Reports

Purpose of Evaluation

Charges

Staff

Directions

Patient Registration Files

Patient Registration Files

For your convenience, you may download Carolina Neuropsychological Service's Patient Registration Files in PDF format. Forms include:

  • Registration
  • Business Policy
  • Release of Information
  • Request for Information
  • Notice of Privacy Practices - Acknowledgement of Receipt
  • Request for Confidential Hanling of Health Infomation by Alternative Means
  • North Carolina Notice Form

Use Adobe Acrobat Reader to view PDF files

Carolina Neuropsychological Service, Inc.
1540 Sunday Drive, Ste 200 · Raleigh, NC 27607
Phone: 919-859-9040 · Fax: 919-859-9030