Triad NeuroPsychological Services, PLLC
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Find below: 
1) To potential patients researching neuropsychologists and insurance providers;
2) Medical Offices referring a patient to us; 
3) Patient forms for scheduled patients (registration form, history form).

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1) To potential patients researching neuropsychologists: 
To research neuropsychologists that might take your insurance, search on the internet or call your insurance company for a list of other neuropsychologists.

To help you, I have compiled a list. 
Click here for my list.

Here are another resource that might help find neuropsychologists and other resources too. 
The Brain Injury Association of North Carolina has two lists for neuropsychologists:
 
1. Click here for List 1.
 
2. For a list of many services including a map, click here, and choose "Neuropsychologists."   

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2) To Medical Offices referring to us:
Dr. Naylor appreciates your referrals and will treat each with the greatest care and respect. 

​We are "out of network" for insurance such as BCBS, Aetna, and all others. Dr. Naylor is not associated with Medicare/Medcaid. 

Referral options: 
- Send us email at [email protected] with the necessary information and/or this form ==>
- Fax or email your referral to (336)922-3206 using one of the forms to the right - Word or PDF format.
OR
- Call us at (336)464-7032


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3) Patient Forms
​(for scheduled patients): 


Patient Registration Form:
            (available as PDF or MS Word)====>




triadnps_patient_referral_form_pdf_2022.pdf
File Size: 120 kb
File Type: pdf
Download File


triadnps_patientreferralform_word_2022-11.docx
File Size: 51 kb
File Type: docx
Download File


form_101-_patient_registration.pdf
File Size: 153 kb
File Type: pdf
Download File

form_101-_patient_registration.docx
File Size: 33 kb
File Type: docx
Download File


Child/Youth Developmental History Form: (PDF or MS Word): 
form_110_parent_pre-interview_history.pdf
File Size: 88 kb
File Type: pdf
Download File

form_110_parent_pre-interview_history.doc
File Size: 38 kb
File Type: doc
Download File

Adult Developmental History Form: (PDF or MS Word): 
form_105-_adult_developmental_history.pdf
File Size: 2378 kb
File Type: pdf
Download File

form_105-_adult_developmental_history.docx
File Size: 22 kb
File Type: docx
Download File

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