Has another doctor recommended that you / the patient see a spine specialist about your back or neck condition
How would you describe your chief complaint about your spine problem? (select one)
What is your / the patient’s age?
Has a doctor performed an MRI, CT, x-ray, or diagnostic injection to try to diagnose your condition?
Have you had any non-operative treatments, such as bracing, physical therapy, chiropractic care, or pain management, for your spine condition?
Has another doctor recommended surgery for your condition?
Would you consider surgery for your spinal condition?