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The Spine Diagnostic & Pain Treatment Center

The Spine Diagnostic & Pain Treatment Center

  • Meet Our Team
    • J. George Jiha, MD
    • Joseph W. Turnipseed, MD
    • John J. Braswell, MD
    • Sean Graham, MD
    • John L. Uhl, MD
  • Conditions Treated
    • Back & Lumbar Pain
    • Neck Pain
    • Nerve Pain
    • Cancer Pain
  • Services
    • Interventional Spine Procedures
    • Therapeutic Injections
    • Relief for Cancer Pain
    • VIA Disc NP Allograft
    • The Intracept® Procedure
  • Resources
    • News
    • FAQs
  • Patients
    • Patient Forms
    • Patient Portal For Existing Patients
  • Locations
    • Baton Rouge
    • Gonzales
    • Denham Springs
    • Prairieville
    • Zachary
    • Brusly
  • Contact Us
  • Facebook
  • Instagram

Patient Forms

The Spine Diagnostic & Pain Treatment Center in Baton Rouge, Louisiana welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below.

Please be sure to bring the forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Forms:

  • Treatment Form
  • Treatment Form (Spanish)
  • HIPAA Form

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Request an Appointment

Provide your contact information and we’ll contact you as soon as possible to schedule your appointment.

Request Appointment

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  • Conditions Treated
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Locations

  • Baton Rouge
  • Gonzales
  • Denham Springs
  • Prairieville
  • Zachary
  • Brusly

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