Patient Forms
New Patients
Welcome to Neurological Wellness Clinic! We’ve tried to make the process of becoming a new patient as simple as possible. Please download the New Patient Packet, print and complete the forms prior to your appointment. The New Patient Packet contains:
- Welcome letter
- Patient’s contact authorization
- Insurance and financial policy
- Health history forms
Procedure Forms
The following forms are for procedures. If you’re having any of the listed procedures, please download the form(s), print and complete them before your next appointment or procedure. Thank you!
Neurological Wellness Clinic Locations
Pewaukee Office
2347 Silvernail Road
Pewaukee, WI 53072
Delafield Office
ProHealth Care Sleep Center
Purity Building at I-94 & Hwy. 83
2301 Sun Valley Drive
Delafield, WI 53018
Sleep Issues, Sleep Studies
Mukwonago Office
ProHealth Care Medical Center
D.N. Greenwald Center
240 W. Maple Avenue
Mukwonago, WI 53149
