Forms and Documents

Consent form

Voluntary participation and consent to EEG Neurofeedback

Patient Privacy

This notice describes how medical information about you may be used and disclosed and how

you can get access to this information.

Patient Info

Patient contact information 

Intake Form

Patient history of symptoms and desire impact of treatment

Brain Mapping Preparation

Preparation for QEEG (Brain mapping). Please read this document before your brain mapping.

Past Medical History Form

Patient medical history

© 2015 by Palo Alto Neurofeedback.

809 San Antonio Road STE 2, Palo Alto, CA 94303