New Patient Forms
- New Patient Paperwork to print out (form) – Print out and Complete before your first appointment at RNI to save time at the office.
- New Patient Paperwork to fill in on line (form) – Complete before your first appointment at RNI to save time at the office and print out.
- Physical Therapy New Patient Paperwork (form)
- Notice of Privacy Practices – Kansas
- Notice of Privacy Practices – Missouri
OR fill out online before printing out
- Sleep Disorders Testing Information
- Sleepiness questionnaire
- Epworth Sleepiness Scale Survey
- Sleep Log – track your sleep day-to-day, for your own information and to help the doctors’ understanding.
- Multiple Sleep Latency Test Information
- Headache Questionnaire
- 2014 Headache Diary
- 2015 Headache Diary
- 2015 Botox Information Packet
- 2016 Headache Diary
- EMG and NCS
- Blink Reflex and Facial Nerve Testing
- Evoked Potential Testing
- Lumbar Puncture Information
- Authorization for RNI to Release Medical Records (TO another provider) (form)
- Authorization to have Medical Records Released to RNI (FROM another provider) (form)
- FMLA and Disability Policy (form)
- Credit Policy and Authorization (form)
Other forms & instructions
We welcome referrals from other medical professionals.