Forms & Documents

Forms

Patient Registration Form - If your a new patient and want to complete the Patient Registration Form at home before your appointment.

Assignment of Benefits

Documents

Prescription Agreement for Narcotics - This is an agreement to protect both you and the physician to establish guidelines for proper and controlled substance use.

Privacy Practices

Notice of Privacy Practices - PDF document notice of Atlantic Spine Center's privacy practices.

Transparency in Coverage

UnitedHealthcare creates and publishes the Machine-Readable Files on behalf of Atlantic Spine Center. To link to the Machine-Readable Files, please click on: transparency-in-coverage.uhc.com