Get ahead of

the process!

Get the forms that you need for

your next appointment.

If you’re new to our office,

please be sure to fill out the following forms, and bring them to your first appointment. This will help ease you in and allow as much time as possible to focus on you.

  • Release of Information form.

Forms for further appointments:

  • HIPAA Notice of privacy practices.
  • Telemedicine content form.

Dr. Raza Sayed’s intake forms

  • Fee Schedule
  • Informed Consent Contract
  • Intake Form

  • Neuro Symptom Checklist
  • Privacy Policies


Any questions? Reach out to us and we’ll help you!

Schedule your appointment!

Let's improve your quality of life together!