What to expect from a neurologist appointment first time?

History and exam. The neurologist will listen to you, ask you questions, examine you, and come up with what could be going on with you, how to figure or out and treat you.
Info gathering. Usually a doctor will have you fill out initial paperwork, talk to you about your history in general, as well as the history of whatever problem you're seeing him/her for, then do an exam and make some recommendations for next steps. Good luck!