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Electroencephalography
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Neurologist near Stony Brook
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Home
About
Reviews
Services
Electroencephalography
Electromyogram and Nerve Conduction Studies
Polysomnography
Disorders
Sleep Disorders
Epilepsy
Stroke
Dementia
Parkinson’s Disease
Peripheral Neuropathy
Carpal Tunnel Syndrome
Low Back Pain
Headaches
Blog
Neurologist near Stony Brook
Contact
Patient Appointment Agreement
This agreement is between Three Village Neurology and the patient, who has agreed to schedule an appointment at the practice.
Non-Refundable Deposit:
In the event that the patient does not show up for the scheduled appointment, a non-refundable deposit of $150 will be charged to the patient.
Appointment Cancellation:
The patient may cancel the appointment by contacting Three Village Neurology at least 48 hours prior to the scheduled appointment time.
Payment Responsibility:
The patient is responsible for paying all fees associated with the appointment, including the non-refundable deposit if they do not show up for the appointment as scheduled.
Agreement to Terms:
By scheduling an appointment with Three Village Neurology, the patient agrees to the terms of this agreement.
This agreement is binding and enforceable under the laws of New York state.
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