Spring Spine Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

Please make sure your paperwork prints out legible so the doctor can read all of the information. If we receive paperwork that is not legible, we will have you fill out new forms in the office. Thank you for your compliance and we look forward to treating you.

New Patient Information Form - Required

Basic patient information for contact and billing.  This information is needed to setup your personal file as a new patient with our office.  Existing patients will need to fill out this information again if there are changes to your information such as an address or phone number change.

Download & Print Form

New Patient Health History Form (2 Forms)- Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form (Form1)

Download & Print Form (Form 2)

Notice of Privacy Practices (HIPPA) - Required

This notice describes how health information about you may be used and disclosed and how you can get access toi this information.  Please review it carefully and print and sign. .  The privacy of your health information is important to us.

Download & Print Form

Patient Record Disclosures Privacy Form - Required

In general, the HIPPA Privacy Rule gives individuals the right to request a restriction on uses and disclosures of their protected health information (PHI). The individual is also provided the right to request confidential communications or that a communication of PHI made by alternative means, such as sending correspondence to the individuals office instead of the individual’s home. Allows you to decide who has access to your records.

Download & Print Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!