Patient Forms

NEW PATIENT FORMS

Download and print these forms to prepare for your new patient consultation appointment. It may take you a little while, so fill them out ahead of time so that you are not rushed. There will not be time to during your visit to complete them, so plan ahead to get the most out of your visit. Don’t forget to bring your MRI images or confirm their availability at our office.

ssi new patient registration forms(pdf)

Contact Us Today

  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

qtq 95

Due to the ongoing epidemic of the novel coronavirus (COVID-19), Sierra Spine Institute has elected to proceed with measures to protect the safety of our patients, our staff, and our community.

We have instituted minimal visits in our physical office in order to promote social distancing and minimize the chance of spreading this contagion in our community. While we will continue to evaluate urgent patient care issues in our physical office, we are moving the majority of our patient visits to online platforms in order to ensure the safety of our patients, staff, and community.

If you are a new or established patient to our practice, our staff will reach out to you prior to your appointment date in order to confirm your appointment and help you set-up the online platform to proceed with the appointment. If you do require an evaluation in our physical office, our staff will help coordinate a date and time that works for you to ensure minimal patient flow through the office. Our phone lines and answering service will continue uninterrupted, and we will continue to have a physician on call 24/7 to address any urgent care needs.

Currently, Sutter Roseville Medical Center and Sutter Surgical Hospital North Valley have postponed all elective cases up to 4/10/2020. Elective surgeries beyond this date are being evaluated on a week-by-week basis.

Please read our full statement by clicking the link below.

Read full statement