NeuroRehabilitation & Neuropsychological Services, P.C.

Appointment Date:________________________ Time:____________

• On the day of your brain map, do not use any hair products such as, spray, gel, mousse, conditioner etc.
• Please use only shampoo.
• Hair must be dry.
• Remove earrings.
• Please allot 1 hour for this procedure.

Please be on time for this appointment.

If you must cancel, please call immediately.

Cancellation of this appointment will result in a delay of future appointments. You may have to wait several weeks for a new appointment.