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Patient Information

• What to Bring to Your Appointment/ Patient Forms
• Payment and Insurance
• Hospital Affiliations
• Privacy Policy

What to Bring to Your Appointment/ Patient Forms

• Your insurance card
• Physician referral forms if required by insurance. All Medicare patients must have a written script from their referring doctor.
• 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 (must bring any films as well as reports)
• Completed patient forms
  [click here for information on accessing and printing forms]
  • Patient registration form (1 page)
  • Health history form (2 pages)
  • Medication list (1 page)
  • Patient consent form (1 page)

Payment and Insurance

Lawrenceville Neurology Center, P.A., is a provider for Medicare and most major insurance plans. 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. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at 609.896.1701. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

• University Medical Center of Princeton
• Capital Health System

Privacy Policy

The Lawrenceville Neurology Center Privacy Policy describes how protected health information may or may not be used by our practice and describes patient rights in regards to their health information.

Lawrenceville Neurology Center, P.A.

• Rene Gomez, MD, FAAN
• Paul K. Kaiser, MD
• Manuel Vergara, MD
• Aissa Alexeeva, MD
• Chitharanjan V. Rao, MD

3131 Princeton Pike
Bldg 3 - Suite 202
Lawrenceville, NJ 08648
Tel: 609.896.1701
Fax: 609.896.3735
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