Patient Forms

New Patients

We look forward to meeting you during your first office visit with us. For your convenience you may download and fill out your initial patient forms that we require on your first visit. Please choose the form based on your condition.

Patient Information Forms

Simply click on the form link, then print and fill out the forms, and bring them with you for your first visit. We'll see you soon.

These are exciting times for us; encouraging times for you and rewarding times for everyone. We are a major referral center and welcome the most complex spinal disorders. That's because we are exclusively spine. It's all we do.

Adult Patients of:

Pediatric Patients of:

Physiatry* Patients of:

*Physiatry is also known as Physical Medicine and Rehabilitation (PM&R); a branch of medicine which aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. 

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Medical Records

• Release of Medical Records
• Release of Xrays

A Release of Information Authorization Form is used by an individual to consent to the release of his or her medical records or x-rays to a new or different physician or health care provider. This release is also often used to assist in a job application or when applying for certain insurance. A parent or legal guardian may provide this authorization to consent to the release of records. A person who has power of attorney may also use this form. To protect a patient's privacy, the law permits disclosure of information only if the patient or his legal representative consents in writing or if the law otherwise permits it. We can send your medical records by email, by fax, by mail or you can pick them up at our Mesa office.

To Obtain an Authorization for Release of Information

After downloading and filling out the form, please mail or fax us your request. Sonoran Spine Center makes every effort to fill medical records/x-ray requests in a timely manner. If the requested records or films are stored off-site, some records requests can take up to ten business days to process. X-rays/films are to be returned after their use per this request.