Please bring to your appointment:
- PHOTO ID (Government issued)
- Insurance Card(s)
- X-ray films and report (if applicable)
- MRI/CT films and report (if applicable)
- Pertinent Insurance/Employment/Worker’s Comp Forms
- Insurance co-payment
- Completed forms below (Click on each form to download)
- Instructional Letter – please read
- Patient Information Form/Financial Policy
- Patient Medical History Form/HIPAA Release
- Dr. Kruger Back Pain Questionnaire
The forms above are in .pdf format — you need Adobe Reader to open them. If you do not have Adobe Reader, please click this link to download it for free.
NOTICE: If your insurance policy requires a referral to our office, prior to the date of your appointment, please contact and inform your primary care physician of your appointment and request a referral be obtained to our office. If this referral information is not on file with our office at the time of your appointment we will RE-SCHEDULE your appointment.