ann arbor mini brochure for physicians virtual tour neurological institute savannah
Ann Arbor: 5315 Elliott Dr. #102
Ypsilanti, MI 48197 | 734-712-4500
Click here to view Satellite locations

Patient Forms

New Patients Forms

New patients please complete the following:

Clinical Outcomes Intake Form

Spine Center Patient History Form

Neuroscience Patient History Form

Release of Medical Information

Financial Policy Form

Notice of Services for Deaf and
Hard-of-Hearing Persons


Pre-Op Patient Instructions

Ice Bag Instructions


Fax to: (734)434-1966



Patient Instructions

6 weeks Post-Op
Microdiscectomy, Posterior Decompression, or Dynamic Stabilization

6 weeks Post-Op
Spinal Fusion

3-4 Months Post-Op
Spinal Fusion

6-8 Months Post-Op
Spinal Fusion

12 Months Post-Op
Spinal Fusion

Cervical Fusion

Discharge Instructions
Anterior Cervical Discectomy / Fusion Posterior Cervical Fusion

Wound Care



Referral Forms:

Scheduling Request Form




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The pictures displayed in are images of actual patients and employees who have consented to have their picture in this website.


Click here to request our journal on back pain symptoms & advances in spine care.

Our educational Internet site is like an online encyclopedia on spine care. We also have a 36-page Home Remedy Book that has symptom charts and customized stretches that relieve pain. Click here to learn more.

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