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Call Us Today!
(205) 536-8736
1000 Southlake Park, Suite 200, Hoover, AL
Call Us Today!
(205) 536-8736

Patient Forms


Click on the Patient Portal link to:
  • Exchange messages with our practice
  • Review and pay billing statements
  • Request appointments
  • Research health topics
  • Review personal health information
  • Complete and update medical forms
  • Update your profile and contact information
New Patients, please download and fill out the forms below before your initial visit.
File

Privacy Practices

Download File
File

Medical Record Release

Download File
File

Test Patient Questionnaire

Download File
File

Non-Headache Questionnaire

Download File
File

Headache/Migraine Questionnaire

Download File
Contact Information

Diane Counce, MD

1000 Southlake Park, Suite 200
Hoover, AL 35244
Phone: (205) 536-8736

Business Hours

Mon-Thu:   8:00 AM- 4:00 PM
Fri             8:00 AM- Noon
Sat:           Closed
Sun:          Closed


Call Us Today At (205) 536-8736