Everything You Need Before Your Visit
Start Your Care with Confidence
29+ Years Of Experience in Medical Services
To help us provide the best possible care from the moment you walk in, we ask all new patients to complete their intake forms ahead of time. Whether you’re visiting us for a specific case or starting treatment for the first time, having your paperwork ready makes your visit faster, smoother, and stress-free.
Hassle-Free Process
Your Path to Care Starts Here -
Complete These Intake Forms
No Fault Case
- Used when you're injured in a motor vehicle accident. Typically covered by auto insurance regardless of fault.
Worker's Compensation Case
- For injuries that occurred on the job. Covered by your employer’s workers' compensation insurance.
LIEN Case
- For personal injury cases involving legal representation. Payment is typically delayed until the case is settled.
Professional Team
Meet Our Experience Team Members
Ranga Krishna, MD
Neurologist
Tahir Sheikh, MD
Pediatric Neurologist
Dominique Cozien, MD
Board Certified Neurologist
Anamika Jain, MD
Neurologist
Simple 3-Step Process
How to Complete Your Forms
Step 1: Select your case type from the options below.
Step 2: You’ll find all the required forms listed under each case type.
Step 3: Fill out the forms, download them, and email them to us before your appointment at intakeforms@mconyc.com
Better Information, Better Care
Why These Forms Matter
These forms allow our providers to review your case details before you arrive. By submitting your paperwork early, you:
- Reduce your waiting time
- Avoid unnecessary delays
- Help our team prepare the right treatment plan
Your privacy is always protected—your information is handled with the highest confidentiality and care.
Popular Neurological Services
Personalized Neurological Care for All Ages
Adult Neurological Consultations
Comprehensive evaluations for symptoms like headaches, dizziness, and memory issues.
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Neurodiagnostic Testing
Advanced testing, including EEG, EMG, Nerve Conduction Studies, and Video Monitoring.
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Pediatric Neurology
Specialized care for children with epilepsy, ADHD, developmental delays, and other neurological conditions.
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Headache & Migraine Management
Advanced treatment for chronic migraines, cluster headaches, and tension headaches.
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Epilepsy & Seizure Care
Expert diagnosis and personalized treatment plans for epilepsy and seizure disorders.
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Post-COVID Treatment
Get expert care to recover from long COVID symptoms and regain your strength.
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Pain Management
We help reduce chronic pain with safe and effective treatments tailored to you.
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Sleep Disorders Treatment
Diagnosis and management of sleep-related issues like sleep apnea, insomnia, and restless leg syndrome.
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Memory Loss Evaluation & Treatment
Comprehensive evaluation and personalized treatment plans to help manage and improve memory loss.
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Parkinson's Disease Treatment
Specialized care to manage Parkinson’s symptoms and improve movement and quality of life.
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Balace Disorders & Dizziness (Vertigo)
Feel steady again with expert diagnosis and treatment for vertigo and balance problems.
Neck & Back Injury
We treat neck and back pain from injuries with advanced therapy and care plans.
Physical Therapy
Recover faster and move better with customized physical therapy programs.
