Forms

If this is your first appointment with Legacy Spine & Pain Specialists please take a moment to fill out the necessary forms ahead of time in order to streamline the process on the day of your appointment. This saves you waiting time and gives you time to properly look over the forms and determine if you have any questions for the clinic.

Please remember to bring a photo idenitification and your insurance cards. 

New Patient Intake


Click Here to Download

Medical Records Release


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Notice of Privacy Practices


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Nerve Conduction Study Instructions


Click Here to Download

Nerve Conduction Study Questionnaire


Click Here to Download

Patient Agreement for Treatment


Click Here to Download