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MicroSpine receives patients
from all around the world
and we understand that
you, the patient, would like some idea as to whether or not,
we, the doctors, can help you
prior to you spending the money to see us in person.
Thus we offer you the
ability to send us your MRI report (Do Not Send Your MRI
Films)
for our interpretation
prior to any medical examination by our staff. One of our
physicians will
personally review your MRI
report and our staff will inform you as to whether our
physicians
believe that you are a
possible candidate for our services. Obviously, this is our
best thoughts
after reviewing your
MRI report but it requires a complete evaluation for us to
truly determine
whether we can help you
or not. Please send us your most recent MRI report (Not
Films) that
correlates to the
region of your body that has pain. For example, if you have
neck, shoulder, or
arm pain then send us your
cervical MRI report. This is a Free Service to assist you in
making
the best decision in
your healthcare. Below are two forms for potential patient
MRI review below.
Click Here to
Send The Email MRI Evaluation Form
This is an Email
Version of our MRI review Form.
You will need
your MRI report handy to fill out this form.
We do not need
the entire report, just include the final interpretation or
summary.
OR
Click Here to
Download The MRI Evaluation Form
This Form Is For
You To Mail Or Fax Your MRI Report (Do not send your
films)
To Us For Our
Review To Determine Whether Or Not We Believe We Can Assist
You With Our Techniques.
Mail this form
and your MRI report to us at:
MicroSpine Center
101 MicroSpine Way
DeFuniak Springs, FL
32435
Fax Number: 850-892-4212
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