Appointment Form

Please fill out the Appointment Form below and one of our nurses will contact you to schedule your appointment. Unless your appointment is specially arranged, all appointments will be made between operating hours: Monday – Friday, 8:00 am – 4:00 pm.

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Is This Your First Visit?

If you are a new patient to Zia Neurology, please fill out the Patient History Form to help us better understand your medical history and provide you with optimum care.

PATIENT HISTORY FORM
Zia Neurology Primary Care Service