Telemedicine Consultation


Telemedicine Consultation
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TSC will provide timely out-patient consultation for patients with spine problems. Patients with routine or complicated spinal disc syndromes as well as undiagnosed neurological problems related to the spine will be evaluated. You can make an appointment to do this in person or by mail. If you choose to do it by mail, then please complete the following form first, after we receive your request, we will notify you shortly on what documents you should prepare to send us, once we receive your package, we will call you with our opinion within 2 weeks. If you would rather to discuss it face to face, then please schedule an Appointment., we will be happy to sit down with you to discuss your concerns.

This service is primarily designed for people with the following needs:
  • People can't come in person: Due to live faraway and can't visit TSC in person, the Spine Center will provide such service for patient as a reference and evaluation.
  • Second Opinions: The Spine Center will provide second opinions in regard to past/present diagnosis, treatment, surgery, or pain management that had been performed or plan to perform.
  • Varies Spine Syndromes: Evaluation of chronic spine disorders in patients with multiple surgical procedures will be seen on a one-time consultation basis in order to assist the patient in making a rational decision regarding further treatment and therapy.
  • Independent Medical Evaluations: The Spine Center will conduct Independent Medical Evaluations and RECORD REVIEWS for insurance carriers and law offices upon request.
  • Work Injuries: The Spine Center will conduct Independent Medical Evaluations without bias toward either side in work-related disputes for individuals upon request.

    Fields with * are required fields and they must be completed promptly

Mr. Mrs.   Miss
Name*   Full name (First - Middle - Last)
Address*
City*
State
ZipCode
Country *
SSN (NNN-NN-NNNN)
Date of Birth* (MM/DD/YYYY)
Gender * Male Female
E-mail*
Daytime Phone* Please include your country code
Evening Phone * Please include your country code
Fax Please include your country code
Past Spinal surgery and current complaint
Questions & Service Requested

What would you like us to do with your package after consultation?

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you may discard or keep it





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