New Patient Information Forms
I hope that visiting this website has been the beginning of a positive experience for you at our office.
We want your first visit to our office to be as easy and efficient as possible. One of the ways we get to know about you and your health, as well as to better communicate with your primary physician and insurance company is from information that you provide on paper.
To this end, the following forms may be downloaded and completed at your convenience before your appointment. We will add them to the information the doctor will review on your first visit. Doing this ahead of time will decrease the time you spend completing paperwork, so more time can be spent with the doctor.
1. Please select the forms package that best describes your situation:
2. To help us evaluate your progress, please select the correct set of questionnaires below which will provide us your baseline level of pain and function loss.
Experiencing neck pain? Please download and complete the following formNeck Disability Index (Vernon-Meyer)
Experiencing low back pain? Please download and complete the following form Low Back Disability Index (Oswestry)
If you should have any questions about these forms, please feel free to contact our office by telephone at (225) 291.2626 or by email info at spinesmith.com.
If you have questions concerning your insurance plan and whether we are providers for that plan, please contact our office at (225) 291.2626 visit our Insurance Information page.
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