Lordex Spine Institute at Lincoln Health Center
503.684.9698
503.213.9698 (fax)


Home Page

About Us

The ABC's of Back Pain

The Importance of Correct Diagnosis

Complimentary Low Back Pain Seminars

Introductory Patient Education Video

The Lordex Solution

Just for Lordex patients

New Patient Guide
·
First Visit
·
Patient Registration
·
Schedule an Appointment Online
·
Subscribe to our Mailing List
·
Questions about Insurance?
·
Financing Options
·
Ask the Doctor

What Doctors are saying about Lordex

Testimonials

Resources

FAQ's

For Healthcare Professionals

Career Opportunities

Feedback

Contact Us

Patient Registration and Health History Forms

We're glad you chose to become a patient and a guest at the Lordex Spine Institute! Like all doctors offices or clinics you'll be required to fill out paperwork that provides us the necessary information to begin your care.

We'd much rather have you complete that 'busywork' now so your time in the clinic will be with the doctors rather than filling out paperwork. It also gives the doctor a chance to review your case prior to your arrival and hence provide a higher level of care to you!

Please take a few moments to fill out each of the forms below to the best of your ability. If you have trouble with any of the questions, just do the best you can and we'll clarify it when you arrive.

Feel free to include anything you feel may be of importance to your doctor-remember, you can't tell us too much! The more we know about you, the better care we can provide.

We're looking forward to meeting with you and helping you "take back your life".

FREE Adobe Acrobat Reader

To view PDF files, you will need to have Adobe's Acrobat Reader plug-in installed for your browser. If you do not already have this plug-in, click above for a free download.


< PREVIOUS PAGE
NEXT PAGE >
< Back to Intro: New Patient Guide
Home · About Us · The ABC's of Back Pain · The Importance of Correct Diagnosis · Complimentary Low Back Pain Seminars
Introductory Patient Education Video · The Lordex Solution · Just for Lordex patients · New Patient Guide · What Doctors are saying about Lordex
Testimonials · Resources · FAQ's · For Healthcare Professionals · Career Opportunities
Feedback · Contact Us
© 2010 Lordex Spine Institute at Lincoln Health Center. All rights reserved. Site design by Ricochet Interactive. Privacy Policy · Terms/Conditions of Use