What to Bring to Your Appointment

• Completed Patient Registration and Patient History Forms(can obtain in Patient forms section, below)
• 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
• Any recent x-rays or appropriate records you may have

Patient Forms

• Patient Registration Form
• Privacy Notice
• Patient History
• Patient Medication Sheet
• Headache Questionnaire
• MS Questionnaire
• Release of Information
• Neck Excercises
• Rytary - released January 8, 2015
• Rytary For Conversion
• Rytary for L-dopa Naive Patients
• A Journey Toward Well-Being
• Overview of Wellbeing
• Caregivers’ Suggestions to Make Everybody Happy
• Dr. Dee Silver Videos

Insurance and Payment Information

Coastal Neurological Medical Group is a provider for the following health insurers:

HMO:
San Diego Physicians Medical Group
Triwest Prime

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, to include copay, co-insurance, and deductible.

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 Affiliation