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:
*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.
Existing Patient Annual Questionnaire
If you are an existing patient of Sonoran Spine Center and haven’t been evaluated in a year, please download and complete the following form.
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
|By Phone:||(480) 962-0071|
|By Fax:||(480) 962-0590 (Attention: Medical Records)|
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.
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To call or request an appointment:
Use the Appointment Request Form
Sonoran Spine Center Offices:
Sonoran Physical Therapy
and Wellness Center:
1432 South Dobson Road, Suite 209
Mesa, Arizona 85202
Web site: SonoranPT.com
Sonoran Spine Research and
1432 South Dobson Road, Suite 201
Mesa, Arizona 85202
Mesa Phone: (602) 443-4169
Phoenix Phone: (602) 443-1424
Web site: www.spineresearch.org