Villar Neuropsychology | For Patients

New Patient Forms

All new patients must complete the appropriate intake forms prior to their first appointment. It is not recommended to arrive without already having completed them. They can be completed online using the link below.

Online Intake (Recommended)
Adult Intake Form (printed version)
Child Intake Form (printed version)
Insurance Authorization Form

What to Bring

Completed Intake Forms (if not submitted online)
Insurance Card
Picture ID
Medical and Imaging Records
Records from Previous Evaluations
List of Current Medications
Form of Payment

For Existing Patients

Patient Portal (View Appts, Records, Pay Invoice)
Medical Records Release Authorization
Letter Request Form
Payment Plan Agreement Form
Upload a Document
Cancel or Reschedule Appt

Find Help

Utilize our Resource Database to find specialized treatment centers, rehabilitation programs, healthcare services, workbooks, support groups, and other helpful tools.