TM Neurology
Book Appointment

Before Your Appointment

Upload Your Documents

Please upload a photo of your driver's license and both sides of your insurance card. This helps us verify your identity and confirm your coverage before your visit.

1

Take clear, well-lit photos of each document — all four corners must be visible.

2

Upload each image using the fields below. Accepted formats: JPG, PNG, HEIC (max 10 MB each).

3

Submit the form. Our staff will review your documents before your appointment.

Your documents are transmitted securely and stored in compliance with HIPAA privacy regulations. They will only be accessed by authorized TM Neurology staff.

Document Upload

Patient Information
Document Photos
Front side — must show name, photo, and date of birth

Click to upload or drag & drop

JPG, PNG, HEIC — max 10 MB

Front side — must show member ID, group number, and plan name

Click to upload or drag & drop

JPG, PNG, HEIC — max 10 MB

Back side — must show claims address and customer service number

Click to upload or drag & drop

JPG, PNG, HEIC — max 10 MB

TM Neurology

Expert care for your neurological health.

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