Patient Resources
Patient Portal
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SMS Chat
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Patient Forms & Information
New Patient Forms
No Surprises Act Disclosure Notice
Modified Oswestry Low Back Pain Disability Questionnaire
Right to Receive Good Faith Estimate Notice
Office Ergonomics Brochure
Neck Disability Index
Medical Devices Instructions and Warranty
Back Talk - Back Information
Post-Operative Restrictions
Blood Thinners Form
Post-Operative Pain Management
Media Release
ODI items and Usage
Procedure Education
Anterior Cervical Discectomy and Fusion
Cervical Artificial Disc Replacement
General Post-Operative Recovery
Transforaminal Lumbar Interbody Fusion
Hemilaminectomy, Laminectomy, Discectomy
Sacroiliac Joint Fusion
Kyphoplasty, Vertebroplasty
Posterior Cervical Fusion
Spinal Cord Stimulator
Cervical Epidural Steroid Injection
Lumbar Epidural Steroid Injection
Medial Branch Block
Medial Branch Radiofrequency Ablation
Office Visit Checklist
Photo I.D.
Drivers License, Military ID, or State-issued photo ID
Current Insurance Card(s)
Please have the policy holder’s SSN.
Patient Paperwork
With health history and medications list filled out.
Your MRI Disc
NOT the paper report. The doctor will need to see the images.
Deductible and Copay
Deductibles and copays are due at the time of service.
Procedure Checklist
Everything from Office Checklist
Plus the following items…
A Driver
You will not be allowed to drive yourself home after the procedure.
Confirm Authorization
Make sure you have spoken with our office regarding your insurance approval status.
Consult our Blood Thinners List
We require that certain blood thinners be discontinued before a procedure. This is a complete list of all restricted blood thinners, and how long before your procedure they should be stopped. ALWAYS CHECK WITH YOUR PRESCRIBING DOCTOR BEFORE STOPPING ANY MEDICATION. See List
Accommodations
SpineMed Specialists is located at 825 N. Hillside Street. It is tucked in between Wesley Medical Center and Ascension Via Christi St. Francis. If you’re traveling to Wichita for a consultation visit, this list of lodging options are convenient to our office.
Lodging Near SpineMed Specialists – Main Office
Hotel At Old Town
Website Link
Wyndham Garden Wichita Downtown
221 E Kellogg St, Wichita, KS 67202
Website Link
Hilton Garden Inn Wichita Downtown
401 E Douglas Ave, Wichita, KS 67202
Website Link
Home2 Suites by Hilton Wichita Downtown Delano
Website Link
Wesley Inn
343 Central Ave Wichita, KS 67208
Website Link
Hampton Inn Wichita-East
9449 E Corporate Hills Dr, Wichita, KS 67207
Website Link
La Quinta by Wyndham Wichita Northeast
Website Link
Comfort Inn East
Website Link
MainStay Suites Wichita Northeast
Website Link
Best Western Plus Wichita West Airport Inn
Website Link