Spring Spine Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download it.
- Download the necessary form(s), print it out, and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
Please make sure your paperwork prints out legible so the doctor can read all of the information. If we receive paperwork that is not legible, we will have you fill out new forms in the office. Handwritten paperwork will only be accepted with blue or black ink. Thank you for your compliance and we look forward to treating you.
New Patient Information Form – Required
New Patient Health History Form – Required
This lets us know the history and current state of your health. What questions, concerns, and goals, regarding wellness can we help you with? Let us know!
Patient Record Disclosures Privacy Form – Required
In general, the HIPPA Privacy Rule gives individuals the right to request a restriction on uses and disclosures of their protected health information (PHI). The individual is also provided the right to request confidential communications or that a communication of PHI made by alternative means, such as sending correspondence to the individual’s office instead of the individual’s home. Allows you to decide who has access to your records.