Forms

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Neurology and Sleep Specialist Referral Form

For Physicians/Providers only

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Neurology New Patient Forms

Complete Prior to First Visit

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Sleep New Patient Forms

Complete Prior to First Visit

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No-Show Policy

Review Prior to First Visit

All communications with Michael B Russo. MD, Inc are considered private and confidential. SMS opt-in consent, phone, email and all other personal information is not shared with any third party.   You may opt-in to SMS messaging by sending START to 808-294-3332.  You  may opt-out of receiving SMS messages by replying STOP to 808-294-3332 or to any of our messages. You may text HELP to 808-294-3332 for assistance.  SMS messaging is provided co improve communication between you and our staff regarding medical conditions and is nor used for any other reason. Data rates may apply.  See our full privacy policy by clicking HERE.