At Dallas Minimally Invasive Spine, we understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our new patient forms here for you to download and complete before your first visit.
Simply click on the links below to download. Print, complete, and bring the forms to your appointment. In order to protect your privacy, please do not e-mail forms.
- New Patient Registration Form
- Medical Release of Information
- Consent to Treat
- Consent for Health Information Exchange
- Notice of Privacy
- Payment and Privacy Acknowledgement
We believe in enabling our patients to focus on maintaining good health and receiving quality care. Dallas Minimally Invasive Spine accepts most major insurance plans, Medicare and various forms of payment, and will verify benefits prior to your appointment. Please call us at 972-312-0607 with any questions.
Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 1-855-602-5273.
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