EMG and Nerve Conduction Testing Form

Your completion of medical history pertaining to your visit is very important to our ability to provide care for you. Most insurance companies require more than 3 months of conservative treatment prior to approving diagnostic tests and surgery.

When completing your intake forms your treatment prior to seeing one of our Physicians counts as part of your treatment plan. Sharing dates and durations of prior treatments are necessary for us when working with your Insurance company for approvals of additional treatment.

Examples of conservative treatment

• Taking NSAIDS by mouth examples are Advil, Motrin, Aleve (Ibuprofen, Naproxen).
• Taking prescribed medications such as Mabie, Celebrex, steroid does packs.
• Epidural blocks
• Physical Therapy with or without relief
• Therapeutic Massage
• Chiropractic visits for your condition
• Bracing
• Bed rest
• Some insurance companies even require you to stop smoking prior to certain surgeries.

Thank you for allowing Neurosurgical Associates the opportunity to provide care to you and your family.