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3621 North Wells Fargo Avenue   •   Scottsdale, Arizona 85251   •   480-882-5566
On the campus of HonorHealth Scottsdale Osborn Medical Center

Appointments

Initial Appointment

For your initial appointment please arrive 30 minutes before your scheduled appointment. This will allow us sufficient time to complete all of the necessary paperwork.

If you are a SPINE PATIENT, click here to complete the necessary Online New Patient Clinical Outcomes Form for new patients to Spine Group Arizona.

New patients are requested to bring:
  • All pertinent medical records, x-rays, and referral paperwork.
  • A completed copy of the new patient information sheets mailed to all new patients.
  • Please bring these completed forms to the office at the time of your first visit, do not mail them. Completion of the necessary paperwork prior to your appointment date will increase the efficiency of the visit.
All patients are requested to:
  • Present all current insurance card(s) at each visit.
  • Obtain any required insurance referrals depending on plan.
  • Please dress so that your injury area can be most easily examined and/or x-rayed. For example, wear shorts if you visit for a knee problem, etc.

To cancel an appointment, please let us know at least 24 hours in advance so we can give that time to another patient.

We understand that your time is valuable, and we make every effort to run on time; however, emergencies occur that cause schedule delays. We apologize in advance if we keep you waiting.


Appointment Request Form

Fill out the information below to request an appointment. Fields marked with an asterisk (*) are required.

*First Name

*Last Name

*Email Address

*Phone

Address


Street


City


State


Zip

My pain is related to:













Insurance:



 

Do you NEED spine surgery?


Do you have pain that radiates into an arm or leg?

   Yes    No

Do you have any numbess or weakness in a foot or hand?

   Yes    No

Have you had an MRI within the last 12 months?

   Yes    No

Provide contant information below so we can advise you based on your above symptoms:

   

Dr Harvinder Deogun, physical medicine scottsdale, physical medicine phoenix

Harvinder S. Deogun, M.D.

Physical Medicine and Rehabilitation

Dr Harvinder Deogun, neurosurgeon scottsdale, neurosurgeon phoenix
Dr Brian Fitzpatrick, neurosurgeon scottsdale, neurosurgeon phoenix

Brian C. Fitzpatrick, M.D.

Board Certified Neurosurgeon

Dr Brian Fitzpatrick, neurosurgeon scottsdale, neurosurgeon phoenix
Dr Frederick Marciano, neurosurgeon scottsdale, neurosurgeon phoenix

Frederick F. Marciano, M.D., Ph.D.

Board Certified Neurosurgeon

Dr Frederick Marciano, neurosurgeon scottsdale, neurosurgeon phoenix

Francisco Ponce, M.D.

Board Certified Neurosurgeon

Dr Francisco Ponce, neurosurgeon, phoenix, scottsdale
Dr Luis Tumialan, neurosurgeon scottsdale, neurosurgeon phoenix

Luis M. Tumialán, M.D.

Board Certified Neurosurgeon

Dr Luis Tumialan, neurosurgeon scottsdale, neurosurgeon phoenix

John E. Wanebo, M.D.

Board Certified Neurosurgeon

Dr John Wanebo, neurosurgeon, phoenix, scottsdale