New Patient Form | Spinal Rehab and Sports Medicine

New Patient Paperwork | Spinal Rehab and Sports Medicine

1120 S. Capital of Texas HWY BLDG 1 STE 250 Austin,TX 78746 • (512) 258-4425

New Patient Form

As a new patient to Spinal Rehab and Sports Medicine, you will be asked to provide personal and insurance information. For your convenience, our new patient form is available for download. Please bring the printed and completed form to your first office visit. If you are an established patient and your information has changed, please arrive for your appointment at least 20 minutes early to allow us to update your information.

new patient forms

Insurance Information

We are in-network with PPO plans, but not HMO plans. We are considered “in-network” or a participating provider for the following insurance carriers:

united health

humana

aetna

blue cross

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