By filling out this form you acknowledge and agree:
- Your identifiable information can be shared with employees of Orlando Orthopaedic Center.
- Information provided by our spine specialist is not a form of diagnosis. A diagnosis can only be made if you have been physically examined by a spine surgeon at Orlando Orthopaedic Center.
Orlando Orthopaedic Center acknowledges and agrees:
We will not share your personally identifiable healthcare information to third parties without your written consent.
Contact Orlando Orthopaedic Center:
25 W. Crystal Lake St., Ste. 200
Orlando, FL 32806