New Patient


New Patient Forms

When you first come to Spine Rehab Associates, make sure to have the following with you. It will help us process your service faster.


Request an Appointment

Appointments can be made by phone during regular business hours or online anytime by completing and appointment request form. If you choose to request an appointment online, we will confirm your appointment as soon as we get your request.

Payment Options

We accept personal checks and most major credit cards, including Visa, MasterCard, and American Express.


We accept all types of insurance.  We handle all your insurance paperwork so that you only have to focus on your health. If you have any question feel free to call us.  We will glad to help you.

Cancellation & Missed Appointment Policies

Thank you for choosing Spine Rehab Associates to provide your health care. We consider it an honor and privilege to be of service to you and look forward to a long and mutually satisfying relationship. We do understand that there may be extenuating circumstances; however, we request that any cancellation of your appointment be made 24 hours in advance. We want you to know that we value your time and hope that you value our time, too. Missed appointments or appointments cancelled less than 24 hours in advance affect our community of both patients and health care practitioners. A missed appointment means the doctor or therapist could not see other patients who might be needing care that day. So, we have created a cancellation and missed appointment policy.


You, not your insurance company, will be charged 50% of your office visit for a missed appointment or appointments not cancelled at least 24 hours in advance or your scheduled visit. The maximum charge for a missed appoint will not exceed $80.00.

Reminder Calls

We provide reminder calls the day before your appointment as a courtesy. You are responsible for remembering your scheduled appointment. Stating that you did not receive a reminder call or that the call was made after the 24 hour deadline does not make your missed or cancelled appointment an exception.