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Preparing for your visit

In order for our doctors to understand your history and formulate the best treatment plan possible, we will request as much information as possible prior to your visit.

We ask you to fill out intake forms and offer 3 possible solutions.

  • Option 1 (preferred): Fill out the online forms with your computer or ipad/iphone and upload into our patient portal. You will receive a link from our office to our Patient Portal when you make your initial appointment.
  • Option 2: After logging into the patient portal, print out the forms at home and fill out with a pen.  Bring with you for your visit.
  • Option 3: We will provide paper forms for you to fill out in the waiting room on the day of your appointment.  Please arrive 30 minutes early to have enough time.

Please bring any pertinent records or test results.  If you have had MRI scans please bring the CD disc and give to our front desk when you arrive so we can start to review.

Please bring a list of your other providers and any medications that you are on.


For your safety and the safety of our staff and other guests, every patient and visitor to our offices and surgical center is required to complete a COVID-19 screening questionnaire prior to entering any of Shore Spine & Pain’s offices.

To complete the pre-visit screening, please fill out the form by clicking the button below no more than 12 hours prior to your visit. You will also have an opportunity to fill out this form on your smartphone in the lobby of our office buildings upon arrival.

Motor vehicle accidents

If you were involved in a Motor vehicle accident please provide your insurance claim number and declaration page from your policy.

Workers Compensation

If you were involved in a worker’s compensation injury, we will need your claim number and adjuster information.