New Patient Forms

(see below for New Child Patient Forms)

New Adult Patient Registration
(PDF / Online)

HIPAA Notice (Privacy Policy)
(PDF / Online)

Acknowlegement of Receipt of Notice of Privacy Practices
(PDF / Online)

Authorization to Release Health Information
(HIPAA Release)
(PDF / Online)

Medical Records Release
(PDF / Online)


Patient Forms

Headache Diary
(PDF)

Sleep Diary
(PDF)

Sleep Study Information
(PDF)

Sleep Study Questionnaire
(PDF / Online)

Comment or Complaint
(PDF / Online)

Narcotic Contract
(PDF / Online)


Child Neurology Forms

New Child Patient Registration
(PDF)

New Child Patient Registration (Patients of Dr. Milowic only)
(PDF)

Child Patient Profile
(PDF)

HIPAA Acknowledgement
(PDF)

Child Medical Records Disclosure and Medical Records Release
(PDF / Online)

Guardian Release Form
(PDF / Online)

Child Headache Calendar
(PDF)

Sleep Diary
(PDF)


Neuro-ophthalmology
Forms

Patient History Form
(PDF / Online)

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.

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
Dr. Matthias Zinn
Dr. Zinn was born in Marburg, Germany. He received… More
Leslie Boyce, M.D.
Dr. Boyce was born and raised in New Jersey ... More
Wanda Cecil
Certified pediatric nurse practitioner Wanda Cecil completed her … More
Child Neurology Services & Procedures

Prolonged Video EEGs

In video-EEG, you are videotaped at the same time as your EEG is recorded. The test is carried out for a long period of time, often several days. The doctor usually views the EEG patterns side by side on a split screen. In this way, the doctor can see precisely behavior during seizures related to the electrical activity in your brain.

Video-EEG test is done in the hospital. If you are under close supervision, it is safe to allow you to have some seizures, which the doctor will see. The doctor may reduce or even stop your seizure medications. Sleep deprivation, hyperventilation (very rapid or deep breathing) techniques are often used by the doctor to assess patients' brain activity during video-EEG.
Video-EEG is very useful in identifying the type of seizures, and pinpointing the region of the brain where they begin.

About the procedure:

  • Most patients say it's boring—just sitting around the hospital. So bring things you enjoy reading, school assignments or something else to keep you quietly busy. Bring comfort items such as your favorite pajamas, stuffed animals and foods that don't contain caffeine.
  • Another tip is to bring clothing made so you don't have to pull over your head. The electrodes will be glued to your scalp with Collodion, the same extra strength glue used in ambulatory EEG, so your head will be connected to the EEG for the duration of the test. This mildly restricting, but not uncomfortable.
  • After your test, contact your doctor's office to make a return office appointment, if it has not already been scheduled. The appointment number is 919-782-3456 ext 8079.