spine colorado back pain, neck pain colorado, spine surgeon colorado, orthopedic surgeon colorado
online bill pay spine center, spine colorado, spine surgeon colorado, non surgical spine care colorado   patient portal spine center spine surgeon non surgical spine care pmr physical medicine colorado   patient forms spine center, spine colorado, spine surgeon colorado, non surgical spine care colorado

One Mercado Street, Suite 200 Durango, CO 81301
Phone: 970.382.9500
Fax: 970.375.0007
 
         
spacer
 

Patient Forms

Medical Records Forms

Medical Records Release Form - Authorization to Use or Disclose Protected Health Information (1 page)

Patient Pre-Registration Forms

 

spine forms

If you have an appointment in our office and would like to complete your registration process, please print the following form(s). These can be mailed to us if time allows, or you may bring them with you at the time of your appointment.

If you are a new patient please complete both a registration and health history form.

Registration form

Health History form for all physicians

We would also appreciate your time to complete one of the following forms, which will tell us about your injury or symptom:

Back or neck injury or symptom (2 pages)

Other injury or symptom (hand, wrist, arm, elbow, hip, leg) (1 page)

 

 

exercise library colorado spine center back pain neck pain

 

medical animations colorado spine center back pain neck pain

 

 

Disclaimer:

The pictures displayed in www.spinecolorado.com are images of actual patients and employees who have consented to have their picture in this website.

Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

 

PRIZM
Web design & Copyright © 2009 Prizm Development, Inc.
All rights reserved.
www.prizmdevelopment.com

books