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First Visit

 

   
     

Patient Forms

   

At Alpine Spine Center it is our goal to provide comprehensive and timely consultations, so that you may begin to understand the nature of your condition and address your symptoms with an appropriate treatment plan.

Upon arrival, please register at the front desk. Personal and insurance information will be verified. Here you will also be asked to fill out forms so that we have a full and complete understanding of both your current overall health status and the specifics of your presenting problem. If you had filled out the forms prior to your arrival, this will be verified.

After your examination and consultation, you will receive an explanation of what is thought to be your current problem, and treatment options on how to proceed to address your diagnosis. This may include further diagnostic studies, physical therapy, diagnostic and/or therapeutic injections, consultations with other specialists, or a discussion of surgical treatment options.

Please Bring To Your Appointment:

  • All radiology studies pertaining to your current medical problem.
  • Prior medical records when possible, such as operative reports, EMG and nerve conduction results. If you have difficulty obtaining these prior to your visit, feel free to call our office and we will try to help you as best we can.
  • A complete list of all medications you are currently taking
  • Your insurance card, co-payment, and billing form.
  • The names phone numbers and addresses of all physicians involved in your care. Please be sure to include your Primary Care Physician's contact information.
 

 

 

Patient Information Forms

Medical Questionaire

 
 

 

 
 

We appreciate your patience and cooperation. Please notify us of any cancellations at least 24 hours prior
to your appointment. If you have any additional questions, please feel free to contact our office at 303-546-6600.