office

What do I need to bring with me on my first visit?

On your first visit with one of our physicians, please make sure to bring the following items:

new patient form medical record request form
insurance information current photo id
dr

How do I transfer my medical records and films from another physician?

If you are a patient who needs to have copies of medical records from a physician sent to a SpinePain & Orthopedic Injury Center physician, you can print out the:

Medical Record Request Form.

Once you have printed the document, filled it out and signed it, please take it to your physician’s office or fax it to (727) 210 – 0880.

forms

Patient Downloadable PDF Forms

› Patient Form
› Follow Up Form

Click on the link to download the Patient Form, print it out and fill it out in its entirety, then bring it with you to your first appointment. You will need Adobe Acrobat to view these PDF files.