Thank you for choosing Innovative Physiatry Spine Clinic for your
healthcare needs. To schedule an appointment, please call our office at (904)
671-0288. Upon scheduling your appointment, please download, print and complete
the new patient registration forms.
For new patients, please plan to arrive 30 minutes earlier to provide the completed forms and the following items:
1. Valid Identification issued by the United States Federal or State Government. I.e Driving license
2. Insurance card(s)
3. Referral letter 4. Any MRI, CT, and X-Ray reports 5. Completed new patient 6. Registration forms
New Patient Paperwork.
Please download this document and complete it before you come in for your appointment.
This form is intended for providers to submit referrals to our office. Please fax the completed referral, along with any necessary medical records and imaging reports, to (904) 508-0674. We greatly appreciate your referral!
This form is intended for providers to submit referrals to our office. Please fax the completed referral, along with any necessary medical records and imaging reports, to (904) 508-0674. We greatly appreciate your referral!