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Spine & Pain
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About the Spine and Pain Center
Meet Our Team
Chronic Pain Treatment
For Our Pain Patients
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Patients History

Please let us know your MEDICAL CONDITIONS. To get the format Click Here

 
Patients Information

Please let us know your details such as "Name, Date of Birth etc..., Also Insurance Details" To get the format Click Here

 
PCP and Referring Form 

Please let us know the details about you Primary Care Physician (PCP) and Referring Doctor Details. To get the format Click Here

 
PATIENT'S SIGNATURE ON FILE FORM FOR MEDICAL CLAIMS

Patient's Signature on File Form for Medical Claims. To get the format Click Here

 
NO FAULT CASE Patients Only 

NO FAULT CASE Patients Only. To get the format Click Here

 
Worker’s Compensation Patients Only 

Worker’s Compensation Patients Only. To get the format Click Here

 
Informed Consent and Medication Use Agreement 

Informed Consent and Medication Use Agreement. To get the format Click Here

"Please call for any additional information regarding referrals, insurance information, and appointments."
"All patients must contact the office to make a valid appointment"

 
 
In News

 

 
Bay Ridge Medical Care
Main Location
370 Bay Ridge Pkwy 
Brooklyn NY 11209,
PH (718) 833-4200
Fax (718) 833-0033
Brooklyn Spine & Arthritis Center
1 Prospect Park West
Brooklyn, NY 11215
(Bet. Union St. & President St.)
P: (718) 833-7246, (718) 833-4200
F: (718) 504-6055, (718) 833-0033
Brooklyn Spine & Arthritis Center
263 Seventh Avenue
Suite 2B
Brooklyn, NY 11215
P: (718) 833-7246, (718) 833-4200
F: (718) 504-6055, (718) 833-0033 
Staten Island Location
212 Garretson Avenue
Staten Island, NY 10305
P: (718) 833-7246, (718) 833-4200
F: (718) 504-6055, (718) 833-0033 
 
Copyright 2012 Dr. Hedayatnia