Community Health Network

eCommunity.com

  • Find a Doctor
  • Locations
    • Community Hospital Anderson
    • Community Hospital East
    • Community Hospital North
    • Community Hospital South
    • The Indiana Heart Hospital
    • Community Physicians of Indiana
    • Center for Digestive Care
    • Center for Wound Healing
    • Community Health Pavilions
    • Community Imaging Center
    • Community Spine Center
    • Diabetes Care Center
    • Indiana Surgery Center
    • Indianapolis Endoscopy Center
    • MedCheck
    • MEDPOINT express
    • Shopping and Dining
    • Wellspring Pharmacy
  • Health Services
    • Assisted Fertility Services
    • Bariatric Services
    • Behavioral Care Services
    • Breast Care Services
    • Cancer Care Services
    • Children’s Services
    • Community Heart and Vascular
    • Community Home Health Services
    • Diet and Nutrition Services
    • Digestive Health Services
    • Emergency Services
    • Hook Rehabilitation Services
    • Interventional Radiology
    • Maternity Services
    • Neuroscience Services
    • Orthopedic Services
    • Radiology/Imaging Services
    • Rehab & Sports Medicine Centers
    • Sleep/Wake Disorders Center
    • Surgical Services
    • Women’s Services
  • Additional Services
    • Bridges to Weight Management
    • Health Promotion Services
    • IHAP
    • Library
    • Life's Journey
    • Mid America Clinical Labs
    • Occupational Health
    • Oh Baby
    • Open Arms
    • Organ Donation
    • Parish Nursing
    • Touchpoint
    • VEI
  • Careers
    • Employment Opportunities
    • Clinical Pastoral Education
    • Emergency Medical Services
    • Family Medicine Residency Program
    • Nursing
    • Pharmacy Residency Programs
    • Physician Recruitment
    • School of Radiologic Technology
    • Volunteer and Auxiliary Services
  • About Us
    • About Us
    • Privacy Notice / HIPAA
    • Patient Rights
    • Quality Indicators
    • Community Benefit
    • Community Health Network Foundation
    • Newsroom
    • Diversity
    • Events
    • Vendor Relations
    • Medical Staff Office
  • Contact
  • Home
Community Spine Center

    Home > Community Spine Center > For patients

For patients

Registration forms

Woman's upper back in exercise clothingTo save time, click the links below to view and print forms that you may complete and take to your appointment. *To view and print materials you will need the free tool Adobe Acrobat Reader.

Select only one of the following based on your primary pain area (back or neck):

  • Back pain
  • Neck pain

Additional forms (optional)

  • Notice of Privacy Practices
  • Patient Assessment Overview Brochure

Your appointment

Please arrive 20 minutes prior to your scheduled appointment time.

What to bring:

  • Previous X-rays, CT scan, bone scan or MRI scans, films and reports
  • Name and dosage of all current medications
  • Completed pre-registration forms (download above)

Frequently asked questions >>

  • Community Spine Center Home
  • Services
  • Medical staff
  • For patients
  • Physician referral
  • Resources and education
  • Frequently asked questions
  • Contact us/Directions
  • Orthopedic Services

myCommunity

...for members and patients.

  • Register
  • Sign-in
  • What is myCommunity? |
  • Help

News for Healthier Living

  • A Drug to Cure Spinal Cord Injuries?
  • Paralyzed Rats Walk Again
  • Yoga Can Ease Lower Back Pain
  • Safety Should Be the Goal for Football Players
  • Surgery, 'Sham' Equal in Treating Compression Fracture Pain
Health Day
  • Page Last Updated: 7/8/2009 12:08:43 PM Copyright © 2009 Community Health Network. All rights reserved.
  • Home
  • Sitemap
  • Disclaimer
  • Terms of Use
  • Notice to Copyright Owners
  • Notice of Privacy Practices
  • Awards
  • Site Feedback
  • Blogs
  • eCommunity Mobile