North Texas Institute of Neurology and Headache

5425 W. Spring Creek Pkwy

Suite 275
Plano, TX 75024
Phone: (972) 403-8184
Fax: (972) 403-0685

 

 
 
 

Patient information

We appreciate the opportunity to participate in your health care!

Your First Appointment

Karen Bontia, MD Neurology | Call and make an appointment today (972) 253-4270

If your insurance is through a managed care program (HMO, EPO, POS), be sure to bring the appropriate authorization (referral) to see us.

We will need to scan a copy of your insurance card and driver's license at your initial appointment, and every time thereafter.

Using the link on this page, you may complete the forms which will help expedite the registration process.

Please bring the following items as this will help us effectively evaluate you...

  • Records from your referring or primary care doctor
  • List of all medications
  • Previous testing done related to your problem (i.e. MRI or CT scan preferably on a CD, EMG/nerve conduction study, EEG, sleep study etc.)

Patient Forms

Karen Bontia, MD Neurology | Appointment Forms

Kindly fill out the forms and bring them during your first appointment to save your valuable time.

 

New Patient History Form

Prescription Refills

Karen Bontia MD | Neurology - Prescriptions

We will provide refills for medication that we have prescribed. Please do not wait until you have exhausted your supply of medication before requesting refills. If your request is appropriate and is received prior to 3:00 p.m. on a regular business day, we will attempt to refill the same day. After hours, on weekends, and on holidays, the on-call physician CANNOT refill prescriptions or begin new medications.