(954) 344-9772
(954) 227-0551
brainhealingcenter@gmail.com


My First Appointment

My First Appointment


Welcome to your first appointment!

Here you will get the items needed to begin your healing process with us.

Below is the information that you will need.

Please read carefully because it is important that you get the correct items to meet your individual needs.

Paul Wand M.D.

If your needs are for:

  • Neurological Consultation (e.g. brain injury, ASD, cerebral palsy, seizure disorder, etc.)
  • Allergy or Blood tests
  • MRI, CAT Scan, SPECT Scan
  • EEG
  • Pain Management/ Numbness & Tingling
  • Supplements

Congratulations! Your first appointment is with Dr. Wand.

Please download the forms below and bring them with you to your first appointment. You may also fill them out at the office if so; please arrive at least 30 minutes before your scheduled time.

New Patient Information Package for:
Pain Management/ Personal Injury / Workers Comp patients
Hormone Replacement Therapy patients
Autism Spectrum Disorder
Privacy/HIPPA Law
 

Gerald Gluck Ph.D, LMFT, Senior Fellow, BCIA-EEG

If your needs are for:

  • Individual Counseling (ASD, addictions, personal growth, depression, problems at school/work etc.)
  • Family Counseling (divorce, better understand your kids, etc.)
  • Marriage Counseling (intimacy, constant arguing, aligning your goals, communication etc.)
  • Neurofeedback/Biofeedback (ASD, C.P., Seizures, Headaches, ADD/ADHD, improve academic performance etc.)
  • Behavior Management Skills
  • QEEG 

Congratulations! Your first appointment is with Dr. Gluck.

Please download the forms below and bring them with you to your first appointment. You may also fill them out at the office, if so please arrive at least 30 minutes before your scheduled time.

>Children (all patients age 12 and under)
>Adolescents (all patients ages13 to 17)
>Adults (all patients age 18 and up)
>Autism Spectrum Disorder (any age patient living with ASD)
>QEEG Intake and Consent (only if you are scheduled this service)>Instructions for Preparing for a QEEG (only if you are scheduled for this service)
>Consent for Neurofeedback Training (only if you are scheduled for this service)

>Privacy/HIPPA Law (all patients)
>Informed Consent And Financial   Policy Form (all patients)              >Self Rating Check List for Adults 

 


Special Notice

Feel free to contact us by phone or email with any questions you may have.
(954) 344-9772
(954) 227-0551
brainhealingcenter@gmail.com

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