Financial/Forms
Thank you for choosing our practice. We are committed to the success of your medical treatment and care and strive to keep your costs reasonable and manageable.
With offices in Port Royal/Beaufort and Bluffton/Okatie.


Financial Policies
Coastal Neurology, PA participates in most major insurance plans. Because these contracts frequently change, we may ask you to contact your insurance company to verify our participation in your plan. Our staff will verify your insurance status and may ask for your card(s) at each visit. Some insurance plans have co-payments, which will be collected at the time of service. If insurance verification cannot be established during your visit, then full payment will be expected at that time until the matter can be resolved.
We currently contract with Medicare, BCBS, TriCare, MailHandlers, Medicare Advantage plans, just to name a few.
If you are not sure about your coverage, please contact your insurance provider to verify that we are in network with your plan.
Payment Options
For your convenience, we accept several forms of payment, including the following:
- Cash
- Personal Checks
- Money Orders
- Visa
- MasterCard
- American Express
- Discover

Patient Forms
NOTE: We are revising our patient forms, and they are currently unavailable for download.
To help expedite your visit with us, please download, print, and complete necessary forms prior to your scheduled appointment. To ensure you are seen quickly and on time, we request that all new patients and those returning after three years complete the New Patient Registration form, New Patient Questionnaire, and HIPAA Statement before your appointment time.
If you are returning for a follow-up visit, please complete the Follow-Up Visit Questionnaire prior to your next visit. If requested by your doctor or our staff, you may also need to complete the Headache Patient Intake Form.
For patients requesting medical records from our office or who need their records sent to us from another medical provider, please complete and submit the Patient Records Release Form.

Financial Policies

Patient Forms
To help expedite your visit with us, please download, print, and complete necessary forms prior to your scheduled appointment. To ensure you are seen quickly and on time, we request that all new patients and those returning after three years complete the New Patient Registration form, New Patient Questionnaire, and HIPAA Statement before your appointment time.
If you are returning for a follow-up visit, please complete the Follow-Up Visit Questionnaire prior to your next visit. If requested by your doctor or our staff, you may also need to complete the Headache Patient Intake Form.
For patients requesting medical records from our office or who need their records sent to us from another medical provider, please complete and submit the Patient Records Release Form.