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Click on the picture below to open the form which you will either receive in the mail or download, and bring (COMPLETED) with you to your first appointment.

YOU WILL ALSO NEED TO BRING ANY TEST RESULTS,

AND IF POSSIBLE YOUR MRI, PET SCANS AND EEG ORIGINAL SCANS!PE01616_.wmf (4326 bytes)

(You will need the Acrobat reader to download the form, if you don't have it, click )

Really, it's not THAT long-

if you have problems filling it out-please call us at

(216) 844-3100

during normal business hours and

we'll answer any questions you might have.