For Patients


New Patient Information

  • If you are a new patient, please let our staff know the reason for your appointment.
  • If you have seen or are currently seeing another Neurologist, please let our staff know. We accept most but not all transfer of care cases. We may need to review your case prior to scheduling our appointment to ensure that we can meet your neurological needs. Please read the following information before your initial appointment.

Financial Payment Policy

It is our policy to collect the appropriate payment due from you at the time of service prior to being seen. This may only be your co-payment, deductible and/or co-insurance, but we do ask for payment at the time of your visit. Clinical Neurology accepts most major credit cards and is a participating provider of Care Credit.


The part of your medical bill that must be paid each time that you visit the physician/provider. This is a pre-set fee determined by your health insurance policy. Reminder, when looking at your member manual you should be looking for “Specialist Co-payment” this is often higher than seeing your primary care physician so be prepared to pay more as determine by your insurance plan.


The amount you must pay for medical treatment before your medical health insurance company starts to pay. This is determined by your health insurance plans. In most cases, a new deductible must be satisfied each calendar year. With this in mind – Do Not Wait until the end of the year to try to schedule your appointments. Often times this is a busy period and many people are trying to do the same thing as you. Be prepared and call 2-3 months prior to your insurance end-of-year deductible date.


The part of your medical bill, often in addition to a co-payment, that you must pay. Co-insurance is usually a percentage of the total medical bill allowable by your insurance.

Form Requests

Please note that Clinical Neurology does not accept requests for disability forms, FMLA for non-patients or provide disability ratings or functional capacity examinations.

Clinical Neurology may be able to assist you with the following type of requests:

  • Patient-only FMLA Forms
  • DMV Form
  • Disabled Parking Permit Form
  • all other requests are reviewed on a case-by-case basis

Please note that after you have paid the form fee and submitted the form or other request to the front desk representative your request may take up to 10 business days or more to be reviewed by your provider. If your neurologist is not available at the time of your request, then this wait time may be increased. A form fee of $35 will apply and will be collected at the time of your request. Please call or see the front desk representative for more details. If your neurologist does not accept your request – you will have your form fee refunded.

Prior Authorization

Your neurology consultation and subsequent follow up visits may require a referral and or a prior authorization. This depends on your health insurance plan. If you are a new patient and have additional questions, then please call one of our new patient scheduling representatives at (703) 858-3700.

If you have already established your neurological care with our office and if you have questions about your upcoming follow up or testing appointment, then please call one of our front office representatives at (703) 858-3700.

Prior authorization or pre-certification for services obtained from your insurance carrier or insurance carrier’s TPA does not guarantee payment of medical services. This means to you and your physician office that your insurance carrier cannot guarantee that your medical claim will be paid prior to having the procedure or service. It is your responsibility to know and call your insurance plan to verify that these services are a covered benefit.

Appointment Cancellation Policy

Please call 24 hours prior to your appointment if you need to cancel or reschedule your appointment with us. We may attempt to reach you on the day of your appointment when you have not arrived for your scheduled appointment time. We consider 15 minutes past your scheduled appointment time as late. The provider may still be able to see you, but plan to be in the office for longer then you had expected or to have your appointment rescheduled to a later time that day or to an alternate date.

Please note that a No Show Fee may apply if you do not show for scheduled appointment.

Prescription Requests

Refill requests for previously prescribed medications at our office must be called in at a minimum of one week before your medication runs out. This allows for time that may be needed to process your request and in some cases your medication may require special forms to be completed by the provider and/or prior-authorization. Clinical Neurology welcomes your requests faxed in by your pharmacy to (703) 858-0860. Please call for prescription refills (703) 858-3700 Monday through Thursday between 9:00 a.m. and 4:00 p.m. When calling the office please provide the following information:

  • Patient’s Name (with spelling).
  • Patient’s Unique Identifiers.
  • Medication Name (e.g. Aricept 10 mg) and amount being requested (e.g. 30 day supply).
  • Pharmacy name and phone number (fax number if available).
  • Phone number where you can be reached if we have additional questions.

Take all medications as prescribed. As with all medications that are prescribed for you, based on knowledge of your personal needs and medical background, sharing your medications with others is both medically contraindicated and against the law.

Please do not request a refill of a narcotics or controlled substances, as these requests will not be reviewed. You will need to make an appointment to review your condition before this can be refilled.

Emergency Calls

For calls that are an emergency, please dial 911. The office does not provide emergency services. For emergency services please call local emergency services, seek out a local hospital, or local urgent care facility.

Registration Forms 

Download Registration Form

Please bring the following additional information to your visit, if you have not already faxed or brought this information to the practice prior to your scheduled visit:

  • Current Primary Health Insurance Card
  • Current Secondary Health Insurance Card (if applicable)
  • Current Tertiary Health Insurance Card (if applicable)
  • Government issued photo identification (e.g. a Driver License, ID Card, etc.)
Clinical Neurology
19455 Deerfield Ave, Suite 211
Leesburg, VA 20176
Phone: 703-858-3700
Fax: 866-803-8417
Office Hours

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