You can download copies of these forms to use at your convenience. You will need Acrobat Reader to view the file. Acrobat Reader is free and can be obtained from the Adobe site.

New Patient Forms

(see below for New Child Patient Forms)

New Adult Patient Registration

HIPAA Notice (Privacy Policy)

HIPAA Acknowledgement

Adult Medical Records Disclosure and Medical Records Release


Patient Forms

Headache Diary

Sleep Diary

Sleep Study Information

Sleep Study Questionnaire

Comment or Complaint

Narcotic Contract


Child Neurology Forms

New Child Patient Registration

HIPAA Acknowledgement

Child Medical Records Disclosure and Medical Records Release

Guardian Release Form

Child Patient Profile

Child Headache Calendar

Sleep Diary


Map to Our Office

Map to RNA

 

   
Dr. John D. Wooten
A Garner native, Dr. Wooten graduated from Duke University in 1980 More
Dr. Kevin M. Rathke
A clinical researcher focused on epilepsy and headache … More
Dr. Traci I. Sheaffer
Dr. Sheaffer was born in Asheville, NC and graduated… More
Dr. Kristi L. Milowic
Dr. Milowic was born in Hawaii and as a child of a military family… More
Wanda Cecil
Certified pediatric nurse practitioner Wanda Cecil completed her … More
Child Neurology Services & Procedures

Nerve conduction studies

NCS/EMG (Nerve conduction study/Electromyography) — a diagnostic study where a technologist performs the NCS under a physician's supervision, and a physician performs a needle EMG. NCS/EMG testing is most useful in the diagnosis and management of nerve diseases/disorders/lesions, nerve entrapment disorders, myopathies, radiculopathies, and carpel tunnel syndrome.

NCS shows how the body's electrical signals are traveling to the nerves. This is done by applying small electrical shocks to the nerve and recording how the nerve works. The doctor may test several nerves.

EMG shows how the body's electrical activity is traveling to the muscles. A small needle is inserted into one or several muscles, and the physician looks and listens to the electrical signal that travels from the needle to the EMG machine. The doctor then reads the signals. A new needle is used for each patient and thrown away after the test.

Before the procedure:

  • Take a bath or shower to remove oil from your skin
  • Do not use any body lotion the day of the test
  • Wear loose fitting clothes
  • Advise your EMG doctor if you are taking aspirin, blood thinners, have a pacemaker, Myasthenia Gravis, or have hemophilia