Patient Information


The following forms and questionnaires are provided as a service to our patients as a means to better evaluate their symptoms, treatment options and overall healthcare concerns. All information is considered confidential and may be submitted voluntarily, although we do ask that you fill out the forms completely in order for us to complete a full evaluation.

These forms are available as downloadable Adobe Acrobat™.pdf documents and require the free Acrobat Reader available here.



Neurology Clinic Patient Satisfaction Survey

Our goal is for you to be very satisfied with the care you receive at the Professional Physicians Neurology Clinic. Please let us know how we are doing: if you should have any comments or concerns regarding your visit or if you see areas where we can improve, we would like to hear from you.

Sleep Lab Patient Satisfaction Survey
If you should have any comments or concerns regarding your visit or if you see areas where we can improve our Sleep Lab services or facilities, we would like to hear from you.


New Patient Form
Please download and fill out this form before your first visit.

NLGH Headache Questionnaire
Please fill this out if you are preparing to see Dr. Nelson for a headache complaint.

Personal Sleep Log
Please begin working on this log if you are preparing to see Dr. Nelson for a sleep complaint.

Sleep Packet
Please begin working on this questionnaire if you are preparing to see Dr. Nelson for a sleep complaint. 


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Copyright © 2012 Jeffrey Nelson, M.D. All Rights Reserved.This healthcare portal website has been created as a source of objective and credible health and medical information for healthcare professionals and consumers and does not endorse any specific product, service or organization. The information supplied is intended as a supplement to, and NOT a substitute for, the knowledge, skill, and judgment of healthcare professionals. If you have questions about health care, please consult a physician or other health care professional.Website Powered by MEDIVISION™