Home
Procedures
Non-Traumatic Procedures
Other Procedures: Lumbar
Conditions
About BI
Why Choose Back Institute
Publications: Book Chapters, Peer Reviewed
Mission Statement
Back Institute Founder
Locations
FAQ
Resources
Am I a Candidate
Questions to Ask Your Doctor
Where Do Medical Doctors Have Surgery
Free MRI / CT Scan Review
Risk Compared
72 Hours
Avoid Hype
LASER HYPE
MINIMALLY INVASIVE HYPE
Testimonials
Physician Patients
International Patients
Other Patients
Forms
Initial Inquiry Form - Lumbar (Low or mid back)
Initial Inquiry Form - Cervical (Neck)
Pre-op Incoming Patient Form
Post-Op Patient Forms
Home
Procedures
Non-Traumatic Procedures
Other Procedures: Lumbar
Conditions
About BI
Why Choose Back Institute
Publications: Book Chapters, Peer Reviewed
Mission Statement
Back Institute Founder
Locations
FAQ
Resources
Am I a Candidate
Questions to Ask Your Doctor
Where Do Medical Doctors Have Surgery
Free MRI / CT Scan Review
Risk Compared
72 Hours
Avoid Hype
LASER HYPE
MINIMALLY INVASIVE HYPE
Testimonials
Physician Patients
International Patients
Other Patients
Forms
Initial Inquiry Form - Lumbar (Low or mid back)
Initial Inquiry Form - Cervical (Neck)
Pre-op Incoming Patient Form
Post-Op Patient Forms
Post surgery form
This area is only for the
patients who had surgery with us
Post Surgery Form #1
(
Less than 1 week after procedure
)
This will help us provide better care if you answer the following questions within 1 week after your procedure.
Post Surgery Form #2
(
More than 1 week after procedure
)
This form will help you to follow the best rehabilitative protocol.
Post Surgery Form #3
(
THE OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE.
)
This questionnaire is designed to enable us to understand how much your low back and/or leg pain has affected your ability to manage everyday activities
Ask your question
Name
[Required]
Email
[Required]
State
Zip Code
Phone Number
[Required]
Has patient had an MRI? When?
What did it show?
What would you like to ask us?
[Required]
Where did you hear about us?
SELECT ONE
Google_Search
Bing_Search
NY_Times
Patient_Referral
Twitter
Other
Would you be willing to pay for
services not-covered by Medicare?
SELECT ONE
YES
NO
MAYBE
