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Email
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Insurance information
Has SpineFirst seen you before?
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No, I have not been seen by SpineFirst or CNSA previously.
Yes, I have been seen by SpineFirst or CNSA for a different issue/injury.
Yes, I have been seen by SpineFirst or CNSA for the same issue/injury.
How did you hear about SpineFirst?
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Search engine
From a friend or family
Email
Ad on a webpage
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If other, how did you hear about us? (optional)
What is the diagnosis you've been given?
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Spinal stenosis
Herniated disc
Myelopathy
Radiculopathy
Spinal deformity (scoliosis/kyphosis)
Spondylolisthesis
Spinal trauma/fracture
Tumor
Infection/abscess
Disc degeneration
Other
If other, please share: (optional)
Where was your imaging completed?
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Atrium Health
Charlotte Radiology
Another facility in Charlotte
Another facility outside of Charlotte, NC
Other
If Another Facility or Other, where? (optional)
What surgery was recommended?
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