Welcome to Southern California Brain & Spine Surgery You can either fill out the from below online or Click HERE, print it out, and bring the completed forms to your appointment.
We want to make sure you get the most out of your appointment. Having the following information at your appointment is important so that we have all the correct information to identify, understand, and treat your spinal and/or brain condition.
Please read over the below checklist and bring each item with you to your appointment
Drivers License or Other Form of Photo Identification
Insurance Cards
Completed Patient Form
All Radiology Studies Pertaining to your Case
Along with the report, please bring the CD or actual scan
MRI Scans
CT Scans
X-Rays
Prior Medical Reports
Operative and Radiology Reports
Injection History
EMG and Nerve Conduction Results
Consultations from Other and/or Referring Physicians
Information of ALL Physicians Involved in Your Care (Including your PCP)
