Click to set custom HTML
Welcome to Bountiful Spinal Care! We are excited to see soon in the office for your consultation and exam to see if we can help. After the consultation and exam the doctor will either tell you he can help and explain what is next, or if your case is one that he cannot help, he will be honest and tell you, then try to find someone else who can.
Please PRINT out a blank new patient history form. Simply use the link below to download, then print, fill out, and bring with you to the office. Plan on 10-20 minutes to fill out this form.
In accordance with the "No Surprises Act" of 2022, we are happy to provide non-insurance patients with the applicable service charge amounts when they come in to the office.
In accordance with the "No Surprises Act" of 2022, we are happy to provide non-insurance patients with the applicable service charge amounts when they come in to the office.
new_patient_intake_form.pdf | |
File Size: | 321 kb |
File Type: |