Policies & Forms

Patient Form

To ensure we deliver you the best care, Coastal NeuroSurgery will need some personal health information. Feel free to print the form below, fill out relevant fields, and bring a completed copy to your next appointment.

 Patient Information Form

Privacy Disclosure

Coastal Neurosurgery, P.A. is committed to keep all information about you and your care private. With your consent we may use medical information about you to help with and coordinate your treatment with other doctors, nurses, therapists, your insurance carrier or other medical personnel.

 HIPAA Patient Notice of Privacy Practices

Patient Consent Forms

•  Anterior Cervical Discectomy With Fusion Consent Form
•  Burr Hole Craniectomy Drainage For Subdural Hematoma Consent Form
•  Craniotomy For Intracerebral Hematoma Consent Form
•  Craniotomy For Subdural Hematoma Consent Form
•  Craniectomy For Tumor Consent Form
•  CT Guided Stereotactic Brain Biopsy Consent Form
•  Lumbar Laminectomy Consent Form
•  Lumbar Microdiscectomy Consent Form
•  Lumbar Puncture Drainage Consent Form
•  Lumbar Spinal Fusion Consent Form
•  Posterior Cervical Decompression With Fusion Consent Form
•  Posterior Cervical Laminectomy Consent Form
•  Posterior Cervical Microdiscectomy Consent Form
•  Stereotactic Radiosurgery By Cyberknife™ Consent Form
•  Sural Nerve Biopsy Consent Form
•  Ventriculoperitoneal Shunt Consent Form

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