Offering care for simple back or neck pain to the most complex spinal surgery for Albany, NY and the Capital Region.
New patients are asked to complete several important questionnaire forms. This information is required to assure you will receive the best medical care. These forms are available below (Adobe Acrobat format-PDF) to print and complete prior to coming in for your first appointment.
Face Sheet
History Form
HIPAA Form
HIPAA Statement
Insurance Guarantee
Office Policies
Release of Information Form
Sleep Questionnaire
Opiate Pain Management Contract
Workers Compensation Information Form
Quitting Smoking Before a Spinal Fusion
Quitting Smoking Before a Spinal Fusion2
For established patients, we also offer a secure, encrypted patient portal that provides an efficient alternative to phone calls and office visits when you have non-urgent healthcare needs: Request or Cancel Doctor Appointments; Request Medication Refills; Send a Note to Your Provider. Call our office for information on how to activate your account.
To our patients and referring providers:
In light of the recent cases of fungal meningitis from methylprednisolone used for epidural steroid injections, we would like to provide some important information.
The physicians of Capital Region Neurosurgery and Pain Management have never used any products from New England Compounding Center in Framingham, Massachusetts, which is the only compounding pharmacy linked to the fungal meningitis outbreak.
It is important to note that millions of people a year receive epidural steroid injections safely and with excellent results in their neck, back, knees and shoulders.
Our highly skilled team of physicians focuses on outstanding care with safety our number one priority.
If you have any additional questions, please do not hesitate to call us.
