New Patients

Insurance and Billing

NJ Spine Institute accepts patients from all insurance providers although we may not be contracted providers for your specific insurance. However, we will work with you in order to provide the best medical and financial experience.


We want to answer as many of your questions at your visit. Please prepare for this by bringing:

• Health Insurance Card/Information
• If needed, a friend or family member to take notes/help with questions
• A list of all medications you are taking
• A list of your questions /concerns
• A copy of your XRAYS / CT/ MRI scans (not the reports - please get the actual films)
• Copies of records from doctors related to your visit with us
• Completed FORMS below

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms: (See attached forms)

Patient Health History	Consent of Medical Records
New Patient Form (English)	New Patient Form (Spanish)
Consent for Treatment Form

Worker’s Compensation

Being specialists in lumbar and cervical spine injuries, NJ Spine Institute leads the way in the handling of worker’s compensation cases and motor vehicle accidents.

Anyone who has suffered an injury in the workplace knows that it can be a traumatic experience. One of the most important decisions one can make is finding an experienced doctor who can help in the treatment of work related injuries. NJ Spine Institute is experienced in handling all aspects of workers compensation medical claims.

The early, accurate diagnosis and medical treatment of spinal injuries is critical to containing the damage that can result from a serious back or neck injury that involves fractured or crushed vertebrae, or severe disc herniations. Otherwise, bone fragments can continue to impair nerve function in the period following an accident and turn a severe injury into a catastrophic and disabling one.

No Fault

What is no fault? "No fault insurance" is a general term that is used to describe any auto insurance system that both require drivers to carry insurance for their own protection, and that places limitations on their ability to sue other drivers for damages. In an accident, under no fault laws, your auto insurance company will pay for your damages (up to your policy limits), regardless of whom was at fault for the accident. Any other drivers involved will be covered by their auto insurance policies. The actual no fault part of your auto insurance policy is usually called personal injury protection, or PIP. But parts of the policy may come under different names (like OBEL, for "optional basic economic loss"). Different states' PIP packages cover different things, but in general benefits will include most injury-related expenses. The most common benefits are medical costs.

If you have suffered a severe neck or spine injury on the job, in an auto accident or in a fall, NJ Spine Institute is here to help. If you have questions regarding workers compensation or no fault please contact us via e-mail at info@nj-spineinstitute.com or call us at (201) 493-0123.

Dental Prophylaxis

Patient Instructions: Dental Prophylaxis

• Guidlines for Teeth Cleanings, Other Dental Work and Pre-Treating with Antibiotic

Spinal Surgery With Implants: For spinal surgery with implants (fusion, disk replacement, stabilization), patients will need to be pretreated with an antibiotic if you have dental work done within 24 months of the surgery. We recommend avoiding routine dental prophylaxis and simple procedures for 3 months following a spinal fusion, but between 4 and 24 months we suggest antibiotic prophylaxis. After 24 months, you will not need antibiotic prophylaxis unless you have a compromised immune system.

Type 1 diabetes mellitus, previous infection of a prosthetic joint or a spinal fusion, hemophilia, or malnourishment. The choice of antibiotic is a decision for you and your primary care doctor. Please contact their office for antibiotics or further advice. WE are happy to discuss this with them should they need to contact us. If you have significant immune compromise, Type 1 diabetes mellitus, history of previous infected spinal fusions or joint replacements, hemophilia or malnourishment then we suggest antibiotic prophylaxis for ALL future dental procedures regardless of timing, but this again is something that needs to be resolved through your primary care physician and not your neurosurgeon. If there is any confusion please have them call us.


Spinal Surgery Without Implants: For spinal surgery without implants (microdiscketomy, foraminotomy, laminectomy), we recommend avoiding routine dental prophylaxis and simple procedures for 3 months following a surgery. If you must have a dental procedure within 3 months then it would be advisable to use antibiotic prophylaxis. We generally do not make recommendations about choice of antibiotic when using it for prophylaxis, but we would be happy to discuss this with your primary doctor.