The Spine Institute of New York provides the following office documents for your access online. You will need the free Adobe Acrobat Reader to view and print these documents. If you do not have it you may download and install it for free by clicking here.
Forms Required For All New Patients
All new patients with appointments should complete this form and bring to your initial visit to provide us with information about insurance coverage.• Medical Information Form
All new patients with appointments should complete this form and bring to your initial visit to provide us with information about medical condition.
Forms Required For Some New Patients• Worker’s Compensation Form | No Fault Registration Form
Patients covered by workmen’s compensation or no fault, please complete this additional form prior to your office visit.
Use this form to authorize The Spine Institute of New York to release medical information or requesting access to medical records.• Surgical Patients: Pre-surgical Packet
This pre-surgical packet has instructions on what preparing for surgeries, medications to discontinue, what to expect on day of surgery as well as post-operative instructions.
Surgical Patients: Post-operative Questionnaires
When you come for follow-up, we will ask you to fill out questionnaires on your health (except at the 10-day follow-up). Please take the time to fill those out. Your answers are used for monitoring of your health and quality assurance. You may also fill out the questionnaires at home before your visit and bring them to us: