In order to asses your case for Dr. Antonacci’s review, we suggest you provide the following information and medical history which applies to your case:
• X-Ray Imaging and Reports
• MRI Imaging and Reports
• Insurance Name, Phone, Subscriber Name, Policy Number
• Brief history of problem
Physicians Reports
• Orthopedist
• Neurosurgeon
• Neurologist
• Pain Management Specialist
• Primary Care Physician
• Other Specialists’ Reports
Before your phone consultation or in-person office visit, please complete the following:
Near Princeton, NJ
3100 Princeton Pike,
Bldg. 1-D
Lawrenceville, NJ 08648
Office Hours: Monday—Friday
8:00 a.m. to 4:00 p.m.
Office Hours: Monday—Friday
8:00 a.m. to 4:00 p.m.
To ensure Dr. Antonacci and the team at the Institute for Spine & Scoliosis can thoroughly assess your condition, it's crucial to compile all relevant medical documentation. This includes diagnostic imaging such as X-rays and MRIs, along with their associated reports. Providing a comprehensive medical history, including details about your insurance and reports from any specialists who have previously treated you, will significantly aid in the evaluation process.
Key documents to gather include X-ray and MRI imaging and reports, your insurance details (name, phone, subscriber name, policy number), and a brief history of your condition. Additionally, reports from specialists like orthopedists, neurosurgeons, neurologists, pain management specialists, primary care physicians, and any other relevant practitioners are vital for a complete picture of your health.
Before your scheduled phone consultation or in-person office visit, you will need to complete specific forms to streamline the intake process. These forms are designed to gather essential demographic, medical, and insurance information. Please ensure you select the correct set of forms based on whether you are an adult or pediatric patient.
The required forms include a New Patient Health Questionnaire, Patient Registration, Assignment of Benefits/Lien Authorization Form, Release of Medical Records, and the HIPAA Privacy Notice. Separate versions are available for adult and pediatric patients to ensure all pertinent information is collected accurately for each age group.
Beyond the standard new patient forms, the Institute for Spine & Scoliosis utilizes additional questionnaires to gain a deeper understanding of your experience with spinal conditions. These tools help quantify pain levels, assess the impact on your physical function, and evaluate your overall quality of life related to your condition.
These supplementary forms include the Pain Interference – Short Form 8a, Patient Questionnaire Physical Function Short Form 6b, and the SRS-22r Patient Questionnaire. Completing these will provide valuable data that complements your medical history and imaging, allowing for a more personalized and effective treatment plan.
The Institute for Spine & Scoliosis is conveniently located to serve patients seeking specialized care for spine and scoliosis conditions. If you have any questions regarding your upcoming evaluation, the required documentation, or need assistance with scheduling, please do not hesitate to reach out.
Our office is situated at 3100 Princeton Pike, Bldg. 1-D, Lawrenceville, NJ 08648, near Princeton, NJ. You can contact us by phone at 888-503-0244 or by fax at 609-912-1600. Our office hours are Monday through Friday, from 8:00 a.m. to 4:00 p.m.