New Patients
Please click on the "New Patient Form", print it, fill it out and bring it with you.NEW PATIENT FORM
HIPAA:
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule is the first comprehensive Federal protection for the privacy of personal health information. For more information, go to "National Institute for Health", U.S Department of Health and Human Services.You can view and/or download their booklet here.
Should you have any questions, we can be easily reached by;
Phone: TOLL FREE (877) 934-PAIN, (219) 836-7246
Fax: 219 836-7245
E-Mail: Info@MidwestSpineSpecialists.com
To see pictures of our main office, or select one of our other locations, click here.
Thank you,
Midwest Interventional Spine Specialists
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