Innovative Spine Care Can Help You

Many people suffer pain in the spine from the neck all the way down the low back. Pain combined with weakness, tingling, or numbness in the arms and legs is also common. This can be the result of the aging process or the result of an injury during everyday activities, slip & falls, athletic events, and auto accidents.

Our proceedures /facilities are Hospital Grade
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DOCUMENT NAME
FORMAT
SIZE
01. Patient Demographics 39 kb
02. Patient / Pyhsician Agreement 49 kb
03. Assignment of Benefits 62 kb
04. Medical Records Release 40 kb
05. Pain Management Agreement 43 kb
06. Notice of Privacy Practices 45 kb
08. Patient Pain History 50 kb
09. Medical History 47 kb
10. Patient Questionaire 40 kb
     
ALL Full Patient Packet (This file includes all of the above documents) 392 kb

 

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8333 Gunn Hwy, Tampa, FL 33626 ------------- Phone: (813) 920-3022----------- Fax: (813) 920-3002--------------Email: info@gotspinepain.com