Complimentary MRI Review by our physicians

My life was awful, every day there was pain. As far as the shot, I was apprehensive. ... Read more

I can now enjoy the simple things again, like holding my grandchildren. Before hav... Read more

I had pain and stiffness in my neck, radiating down my back and up one side of my hea... Read more

NY Spine Medicine will review your current MRI, at no obligation, to determine which of our procedures will provide the most relief for your specific condition.

Within 24 hours of receiving your MRI results by fax, we will notify you via email, our physician’s specific recommendations

To receive your complimentary MRI review, fax or upload a current MRI report.

Please Fax your MRI report to 212-750-1170 or upload a PDF copy in the below form.

COMPLIMENTARY MRI REVIEW FORM

First Name:	*
Last Name:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone:	*
Email:	*
Please, describe your condition briefly:
Symptoms:
Type of insurance:	*
How did you learn about us?:	*
Upload MRI report:
Upload MRI report:
Upload MRI report:
Upload MRI report:
Upload MRI report:
	Upload more (max - 5):

By filling out the MRI Request form you acknowledge and agree:

That your personal health information can be shared with employees of NY Spine Medicine.
That the MRI review is only an informational review of the documents that you are providing.
That the information provided by NY Spine Medicine is not a diagnosis. A diagnosis can only be made if you have been physically examined by one of NY Spine Medicine’s physicians.

NY Spine Medicine acknowledges and agrees:

We will not share your personal health information to third parties without your written consent.

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