302.366.7671
Delaware Neurosurgical Group
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    • Physicians
      • Leif-Erik Bohman, M.D.
      • Paul Tymour Boulos, M.D.
      • Matthew J. Eppley, M.D., F.A.C.S.
      • Tony Maidoh, M.D.
      • Pawan Rastogi, M.D.
      • Pulak Ray, M.D.
      • Michael Gary Sugarman, M.D., F.A.C.S.
      • Kennedy Yalamanchili, M.D., F.A.C.S.
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    Patient Info

    General Info

    Please prepare by bringing the following information so that we may fully address your concerns during the consultation.

    Questions? New patient contact person is Tracey, 302.366.7671, ext 1124.


    PHOTO I.D. AND INSURANCE CARD(S)
    This ensures that you receive your entitled medical benefits and that your medical insurance is billed accurately.


    MRI’s, CT’s AND/OR X-RAYS
    Please bring your CD(s) and/or film(s) to your appointment. These are the actual pictures of your radiology test(s) which we need for your evaluation. You may also bring the written MRI, CT or X-RAY reports.


    ALL RELEVANT TESTS AND REPORTS
    These include any of the following:

    • Injection Reports from Pain Management
    • EMG & Nerve Conduction Study Reports
    • Myelogram Reports
    • Referring Physician Notes

    New Patient Info

    For your convenience and to facilitate the registration process, download the PDF forms below, fill out completely, print and bring with you to your first visit. The forms may be filled out on your computer, if you choose. Be sure to read the first item “What You Need To Bring To Your Initial Visit”.

    New Patient Info – Full Packet

    Or download only the PDFs you need from the list below.

    1. What You Need To Bring To Your Initial Visit
    2. Patient Questionnaire
    3. Government Required Form
    4. Patient Information Form
    5. Medication List
    6. Medical History
    7. Family History
    8. Physical Exam Sheet
    9. Auto Accident
    10. Workman’s Compensation
    11. Notice of Privacy Practices
    12. HIPAA Permission

    CONTACT

    Ph: 302.366.7671
    Fx: 302.366.7549

    OFFICE LOCATIONS

    774 Christiana Road, Ste 202,
    Newark, DE 19713

    200 Banning Street, Ste 200,
    Dover, DE 19904

    18947 John J Williams Hwy, Ste 305,
    Rehoboth, DE 19971

    2700 Silverside Road, Ste 3A, Wilmington, DE 19810

    DNG News

    • The ChristianaCare and Delaware Neurosurgical Group PA joint spine surgery center
    • Awake Brain Surgery
    • Dr. Koyfman Remembered
    • Top Doctors 2019
    • Why A Neurosurgeon? More than just the brain.
    • Dr. Bohman’s Podcast
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