Request a Spine Case Personal Review by Dr. Antonacci

Physician

SSL CertificateTo have Dr. Antonacci personally review your case, please fill out this comprehensive form below (est. 20 min to complete the form). After Doctors’s review, a staff member from Dr. Antonacci’s and Dr. Betz’s office will contact you (typically within 48 hours) for more information about your condition or to schedule an appointment.

Were you referred to a specific physician? (If no, select Next below)
Please choose your physician…

Reference

Have you been told you need surgery?
     
Did a physician refer you to us?
     

Location

Which location is best for you?
Please choose your location…

Name

Insurance

What type of insurance plan do you have?
Unfortunately, many insurance companies try to limit patient access to surgical specialists like Dr. Antonacci and other expert physicians who can help them. Letting us know your healthcare coverage helps us serve you better.

Insurance Warning

At this time, we are currently not accepting that type of insurance. You are welcome to learn more about our procedures and credentials, or read and watch our patient testimonials. We hope that if your insurance type changes, you consider us for your spine surgery.

Condition

For what condition are you seeking treatment?

Pain Indicator

Tell us where your pain is?
Simply draw with the color which represents the type of pain or discomfort you're experiencing.

Indicate the severity of your pain below. 1 being mild, 10 being severe.

Contact

What is your basic contact information?

Hx

Brief Hx of problem
Tell us something about your problem, like when it began, and how.

EMG

Steps 7 — 12 - Imaging and Reports
Submit all that applies

EMG Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
EMG

Discogram

Discogram Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
Discogram

X-Ray

X-Ray Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
X-Ray

Plain CT

Plain CT Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
Plain CT

CT Myleo

CT Myleo Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
CT Myleo

MRI

MRI Diagnostic Test
Please indicate below, the results for any of the following tests you have had.
MRI

Primary Care Physician

Steps 14-18 - Doctors You Have Seen
Submit all that applies

Have you seen a Primary Care Physician about your case?
Please indicate if your Primary Care Physician has recommended surgery.
Primary Care Physician

Physiatrist

Have you seen a Physiatrist about your case?
Please indicate if your Physiatrist has recommended surgery.
Physiatrist

Pain Management Specialist

Have you seen a Pain Management Specialist about your case?
Please indicate if your Pain Management Specialist has recommended surgery.
Pain Management Specialist

Neurologist

Have you seen a Neurologist about your case?
Please indicate if your Neurologist has recommended surgery.
Neurologist

Neurosurgeon

Have you seen a Neurosurgeon about your case?
Please indicate if your Neurosurgeon has recommended surgery.
Neurosurgeon

Orthopaedist

Have you seen a Orthopaedist about your case?
Please indicate if your Orthopaedist has recommended surgery.
Orthopaedist

Pediatrician

Have you seen a Pediatrician about your case?
Please indicate if your Pediatrician has recommended surgery.
Pediatrician

How were you referred to us

How were you referred to us

Complete

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In A Rush?

If you're in a hurry and would prefer we call you, please use our Request Appointment Quick Form. Someone on staff will get back in touch with you as soon as possible.
Scoliosis Research Society National Board of Medical Examiners AOSpine Europe Consumers Research Council of America

REVIEW REAL PATIENT TESTIMONIALS

Our patients have shared their experiences and gratitude with us and we invite you to read their words yourself.

ONE-ON-ONE CONSULTATION WITH DR. ANTONACCI

Meet with the leader in minimally invasive and complex spine surgery. Ask questions of concern and learn more about your options. Dr. Antonacci is looking forward to meeting with you.

ANSWERS TO COMMONLY ASKED QUESTIONS

You are not alone and many others have asked similar questions you may have. Read more to understand about spine surgery through Dr. Antonacci's approach. You might just learn something!