If you wish to download all nine of the required forms, you can just use this packet. If you wish to print off each required form individually, they are located below.

This form allows you to identify the specific individuals you will allow to have access to your medical records. We will not release your information to an individual without your permission.

Prior to your visit to Gordon Spine and Brain Associates, you will need to complete this form providing details about past and current medical conditions, surgeries, and medications. It also includes details about the medical history of your family members. The purpose of this form is to help us understand all the issues that could be contributing to your current pain.

This form releases your medical records to Gordon Spine and Brain Associates in order for us to diagnose your condition. We need the completed form on record to facilitate present and future requests.

This form should be completed and signed by you to indicate that you understand the Medication Policy of Gordon Spine and Brain Associates. This policy sets forth how medications will and will not be prescribed by our office.

This form should be filled out before your first appointment. It helps to identify where you are experiencing pain and the intensity of the pain. The purpose of the form is to give us the information needed to find the source of your specific pain.

This form must be initialed and signed by you in order for you to obtain services by Gordon Spine and Brain Associates. It provides your authorization for our office to provide you services, submit insurance claims, and to provide your records to other physicians and insurance companies.

This form provides us the information we need to set you up as a new patient seeking a surgical consultation at Gordon Spine and Brain Associates. The purpose of this form is to give us the details we need to contact you, contact your personal physician, and submit insurance claims.

This form must be signed by you to acknowledge that you have received it. It provides you information about Dr. Gordon's collaborations with companies involved in the marketing and development of medical devices and in the treatment of spinal conditions.

All patients should complete this form. Complete the form even if you are not filing a worker's comp claim.

This is not a form, but it should be read prior to your visit to Gordon Spine and Brain Associates. The Patient Authorization form asks you to initial that you have read this notice regarding our privacy policy.

Use this form when you need Gordon Spine and Brain Associates to release your medical records to someone else (usually another physician or insurer). If you are needing your physician to send medical records to Gordon Spine and Brain Associates, use the Medical Records Release Form instead of this form. Just remember the following: Medical Records Release Form -- send records to Gordon Spine and Brain Associates, Release of Patient Information Services Form -- Gordon Spine and Brain Associates send records to another physician or insurer