757-461-5400 757-461-3305 Fax HOME ABOUT US OUR PROVIDERS OUR SERVICES PATIENT RESOURCES PATIENT FORMS Clinical Research Opportunities From the Physicians at Neurology Specialists: At Neurology Specialists, our goal is to provide the best possible care for patients. Sometimes it’s as straightforward as writing a prescription or giving a shot — other times the best treatment is still in development. That is why clinical studies are so important. Without clinical studies, it would be impossible to develop new medicines and cures. Clinical studies offer more care options for our patients suffering from common, unique, and rare health conditions. This is especially helpful for patients who struggle to find effective therapies currently on the market. In short, clinical studies help us deliver better care to our patients. Neurology Specialists partners with Meridian Clinical Research. Together, we run clinical studies to help develop better treatments for the patients we see, and for people worldwide. If we believe a study is right for you, someone from our office or Meridian may call you. As physicians, we fully support the clinical studies you are contacted about. We encourage you to consider participating if you are contacted. Clinical study treatments are available at no cost. You may also receive compensation for participating. Our clinical studies are held to incredibly high standards set by the U.S. Food and Drug Administration (FDA) and Meridian. Every effort is made to ensure patient safety. If you ever have a question about the study process or currently open studies, ask us next time you visit our office or simply call Meridian at (757) 226-0655. Participating in a clinical study is always optional — regardless of what you do, we will continue to provide excellent traditional neurological care. To support great leaps in medicine, we support clinical research. We hope you will, too. Best regards, The Physicians at Neurology Specialists Carmen Fuentes, MD | Ingrid Loma-Miller | Marcus Rice, MD | Armistead Williams, MD Neurology Specialists Halifax Building • 6161 Kempsville Circle, Suite 315 • Norfolk, Virginia 23502 • 757-461-5400 1000 First Colonial Road, Suite 101 • Virginia Beach, Virginia 23454 Home About Us Our Providers Our Services Patient Resources Patient Forms © 2021 NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC

757-461-5400 757-461-3305 Fax HOME ABOUT US OUR PROVIDERS OUR SERVICES PATIENT RESOURCES PATIENT FORMS Patient Forms Please click on each form icon below to download an Adobe Reader® file of that form. Print, fill out and bring with you to your next appointment. If you don’t have Adobe Reader on your computer, click here for a free download. New Patient Forms Medical Records Release from NCT Medical Records Release to NCT Disability/ Work Capacity Sleep Questionnaire Notice of Privacy Practices Patient Portal Access Neurology Specialists Halifax Building • 6161 Kempsville Circle, Suite 315 • Norfolk, Virginia 23502 • 757-461-5400 1000 First Colonial Road, Suite 101 • Virginia Beach, Virginia 23454 Home About Us Our Providers Our Services Patient Resources Patient Forms © 2021 NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC