New York Spine Institute Spine Services

Patient Forms – Draft 1


New Patients: In preparation to your “first” visit, please print and complete the Patient Registration Form and Screening Questionnaire prior to your arrival:

Additionally, if you have imaging studies, i.e., MRI films or X-rays plus medical written reports please bring them with you.

As a New Patient we will begin by obtaining all of your present and past medical history. You will be asked to complete a survey provided by the physician with the goal to better understand and evaluate your current condition. This will be followed by an extensive and detailed physical examination.