Patient Forms and Appointment Preparation
Patient Forms
To help us prepare for your visit, please download and complete the appropriate medical history form before your appointment. Bringing completed paperwork allows your consultation to focus on your symptoms, imaging, and treatment planning.
Download Your Medical History Form
Select the form that matches your condition. If you are unsure which form to complete, our office can guide you when scheduling.
Spine Patient Medical History
For patients being evaluated for spinal conditions including back pain, disc herniation, spinal stenosis, instability, or related neurological symptoms.
Cranial / Brain Patient Medical History
For patients being evaluated for brain tumours, vascular conditions, headaches, seizures, trauma, or other cranial neurological concerns.
If you are unable to print the forms, arrive 20 minutes early so they can be completed in the office.
A Simple Checklist Before Your Appointment
A little preparation helps us use your time well. If you bring the items below, we can focus the consultation on what matters most, your diagnosis, your options, and your next step.
Bring With You
- Completed medical history form
- Photo identification and insurance card
- Medication list (including dosages)
- Relevant reports from recent visits or tests
If You Have Imaging
- MRI, CT, or X-ray images on CD or USB
- Radiology report for each scan
- Scan dates and imaging facility details
- Any prior operative or hospital discharge summaries
What to Expect
- Review of history, symptoms, and imaging
- Focused neurological examination
- Clear explanation of options and timing
- A plan for next steps or follow-up
If you are experiencing severe symptoms such as sudden weakness, facial droop, loss of consciousness, or a severe sudden headache, seek emergency care immediately.
Expertise You Can Trust for Complex Neurological Care
Comprehensive Brain and Spine Care
Specialized evaluation and treatment for complex neurological conditions affecting the brain and spine.
Coordinated, Patient-Focused Care
Clear guidance and continuity of care from consultation through treatment and follow-up.
Clear Communication and Planning
Thoughtful discussions that help patients understand options and make informed decisions.
Advanced Surgical and Endovascular Expertise
Surgical and minimally invasive endovascular care led by Dr Shah-Naz Khan, MD.
Evidence-Based Clinical Decisions
Treatment recommendations grounded in experience, research, and clinical judgment.
Compassionate, Respectful Care
A calm, supportive approach for patients and families navigating neurological conditions.
Referral and Appointment Inquiries
If you’re considering an appointment or have questions about referrals, our team is happy to help and talk you through the next steps.
Not every patient needs a referral. If one is required in your case, we’ll let you know and guide you through what to do next.
Request an Appointment
Related Areas of Care
Neurotrauma Care
Assessment and management of traumatic brain and spinal injuries, including acute and delayed presentations.
Spine Disorders
Degenerative and compressive conditions of the cervical, thoracic, and lumbar spine, treated with careful surgical judgement.
Endovascular Procedures
Minimally invasive techniques used to treat complex vascular conditions of the brain and spine.