We would like to thank you for your interest in North Texas Neurosurgical and Spine Center. It is our desire that all our patients be as informed as possible. Hopefully, some of your questions about our services and office policies will be answered on this site. For your convenience, we offer our patient forms online, as well as insurance and billing information.
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In the News
Dr. Tanya Dixon
Dr. Cyrus Wong
- Glen Rose patient finally free of back pain after more than 10 surgeries
- Patient Success Story: Meet Justin Vickery
- WFAA: Veteran has new lease on life after doctor removes spine-crushing tumor
- Oh, Our Aching Backs
Dr. Farhan Siddiq
- Fort Worth Star-Telegram: What we know about the disease Travis Frederick is fighting
- Fort Worth Star-Telegram: Good signs: Cowboys’ Travis Frederick attending team meetings, watching practice from sideline
- KERA NEWS: Doctors Now Have More Time to Save More Lives of Stroke Victims
- WFAA Good Morning Texas – Stroke Awareness with Dr. Farhan Siddiq
- NextAvenue: Heat Stroke is Especially Dangerous, Even Deadly, in Older Adults
- Why Aren’t There Routine MRI Screenings for Brain Aneurysm?
- Getting an MRI if a Family Member Has an Aneurysm
- Can Aneurysm Cause One Pupil to Be More Dilated than the Other?
- Can a Brain Aneurysm Cause Head Stabbing Pain?
- Can an Unruptured Aneurysm Cause Headaches?
- Exercise Guidelines after Brain Aneurysm Coiling or Clipping
- Can You Hear a Brain Aneurysm Rupture?
- Can a Brain Aneurysm Cause Headaches on One Side?
- Can an MRI Miss a Head Injury and Not Show It?
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Patient Forms
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 email forms.
- New Patient Registration Form: English | Español
- Consent to Treat Form: English | Español
- History and Physical Form
- Medication Chart
- Pain Medication Policy
- Patient Controlled Substance Agreement
- Authorization for Health Care Information Data Exchange
- Notices of Privacy Practices Acknowledgement
- Pain Questionnaire - Back
- Pain Questionnaire - Neck
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Insurance Information
We believe in enabling our patients to focus on maintaining good health and receiving quality care. North Texas Neurosurgical and Spine Center accepts most major insurance plans, Medicare and various forms of payment, and will verify benefits prior to your appointment. Please call us at 817-250-4280 with any questions.
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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 1-800-890-6034.