Patient Forms

• For New Patient Forms click here

• For Established Patient Forms click here

PLEASE NOTE: If you have had any brain imaging done within the past year (MRI, CT, etc.) please bring a copy of the imaging results with you.

Below are links to various organizations that may serve as helpful sources of information.

They may also give you an idea as to the types of conditions that our practice can help you with.

Recommended Resources

 

AARP

(American Association of Retired Persons)

CURE (Citizens United for Research in Epilepsy)

Douglas J. Mason, Psy.D.

Licensed Psychologist

Neuropsychologist

Phone:  (352) 530-2170

Fax:  (352) 530-2180

Address:

The Memory Doctor, LLC 26540 Ace Avenue

Suite E 106

Leesburg, Florida 34748