Center for Applied Neuroscience
716 South 6th Street
Las Vegas, Nevada 89101 

(702) 382-3670
ADULT INTAKE QUESTIONNAIRE
for ADOLESCENTS AND ADULTS ages 16 through adulthood
Thomas F. Kinsora, Ph.D.
Clinical Neuropsychologist


​INTAKE QUESTIONNAIRES

Note: ​A password is required for the links below.  If you do not recall your unique password or if it does not work, please call our office at 702 382-3670.
Once you have the password, click the appropriate link below to go to the secure Intake site​.​​

ADMISIÓN MÉDICA/LEGAL EN ESPAÑOL PARA ADULTOS
SOLO para Exámenes Médicos Independientes