The Spine Institute of New York physicians and nurse practitioners will answer questions submitted online for existing patients regarding their medical condition and ongoing treatment. Patients who have not been seen at the Spine Institute should NOT submit questions online. New Patients are advised to Request an Appointment

This Online Clinical Question Form is not for emergencies or a substitute for direct contact.

If your problem is urgent, please call the office.

Please allow 24 hours for a response to your question, excluding weekends and holidays.

Existing patients can complete the following information for questions regarding ongoing treatment.

Contact Information:  First Name:  Last Name:  Address:  City:  State:  Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:  Home Phone:  Work Phone:  Cell Phone:  Email:
I would like a response by:  Email Phone
Age:
Date of Birth:
Current spine institute physician:    Casden Kahn Kuflik Lee Neuwirth
When was your last visit with a Spine Institute physician?    Less than 3 months 3 - 6 months 6 months - 1 Year 1 - 2 years Greater than 2 years
What diagnosis were you given?     Herniated Disc Stenosis Degenerative Disc Strain/Sprain Scoliosis Kyphosis Bulging Disc Compression Fracture Sciatica Don't Know None Given
What is the severity of your current pain?     Mild Moderate Severe (worst pain) Incapacitating
What is your question regarding your back condition or ongoing treatment?

Appointment Request

Prescription Refill
Request

Clinical Questions

Medical Record Request

Insurance & Authorization

Reference Links

Forms Completed
by Office

Office Policy