Request an Appointment | Sydney Spine Institute

Status:

Worker's Compensation
CTP/other 3rd party claim
Medicare only
Private Health Insurance
Overseas visitor

Service Needed:

Neurosurgery & Spine Surgery
Pain Medicine
Occupational Medicine
Spine Physiotherapy
Spine Physician Clinic

Appointment Type:

Initial
Follow up
Telehealth

Chronicity: When did your symptoms start?

What is your MAIN/MOST SEVERE symptom at the moment:

Back pain
Neck pain
Leg pain
Arm pain
Numbness/pins & needles in arms or legs
Weakness in arms or legs
Headaches

Since when have you had your MAIN/MOST SEVERE symptom?

Severity of symptoms:

Symptoms are moderate (come and go)
Symptoms are quite severe (often in a lot of pain)
Symptoms are unmanageable and disabling (severely affecting quality of life)

Treatments previously undertaken:

physiotherapy
spinal/cortisone injections
chiropractic
massage therapy
acupuncture
pain killers (Neurofen, Panadol etc)
opiate analgesics (Endone, Oxycontin)
surgery

Attach clinical documents (Referral letter, CT/MRI/XRAY reports, etc):

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