PATIENT FORMS

Thank you for choosing Spooner

We look forward to getting your Health in Motion! When you arrive for your first visit, please bring with you:

  • Completed registration forms (download links below)
  • Photo identification
  • Health insurance card
  • Physician referral (if applicable)

Prior to your appointment, please read through our Notice of Privacy Practices.

Download

Spooner registration forms

New Patient Form –
English

Download

Large print registration form

New Patient Form –
Large Font

Descargar

Spanish language registration forms

Formulario Para Nuevos Pacientes –
Español

Download

Spooner privacy policy

Notice of Privacy Practices –
English

Descargar

Spanish language privacy policy

Aviso de Prácticas de Privacidad –
Español

Medical Records

If you would like a copy of your patient records from Spooner, please print the release form below, fill it out, and return it to your closest Spooner clinic.

Provider List

Click the button below to view Spooner’s list of contracted insurance providers. We will verify your eligibility and benefits before your initial evaluation.

MOTOR VEHICLE ACCIDENTS AND LIEN FORMS

If you have been injured in a motor vehicle accident or in a situation that involves personal injury, Spooner can help! At Spooner, we will assist you through the process of filing a lien and will communicate with your attorney if necessary. Our main goal is to partner with you to return your Health in Motion.

Please print the forms by clicking on the download link, fill them out, and bring them with you to your first appointment in addition to the appropriate “New Patient Packet” above.

We have a Lien Specialist prepared to answer all of your questions specific to motor vehicle accidents and personal injury cases:

Katie Gower, Lien Specialist
Spooner Revenue Cycle Management Team
Phone: 480-551-4943
Email: k.gower@spoonerpt.com

Download

Title lien forms

Motor Vehicle and Lien Forms