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
More than 1 Week Post surgery form
This area is only for the patients who had surgery with us.
Name
Email
Do you have occasional back or leg pain (neck or arm pain, if it was a neck problem) severe enough to interfere with normal work or leisure activities?
Select One
Yes
No
Are you handicapped by severe pain?
Select One
Yes
No
Have you done therapy per our protocol, or extended protocol?
Select One
Yes
No
Is there any stress to your spine during therapy?
Select One
Yes
No
Has there been any problem with physical therapy?
Select One
Yes
No
Submit
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