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Request an Appointment

How to Make an Appointment:

If You Are a CURRENT or FORMER Spine Team Texas Patient:

To make an appointment, or to change or cancel an existing appointment, please call us at 817-442-9300 for assistance. You cannot make or cancel an appointment through our patient portal.

If You Are a NEW Patient:

Please provide all of the information requested below. PLEASE NOTE: We do not accept Worker's Compensation patients.

Personal Information

First Name

Last Name

Birth Date

Contact Information

Phone Number

Email Address

Address Information

Address 1

Address 2

City

State

Zip Code

Insurance Information

Leave this section blank if you are uninsured.

Insurance Plan Name

Membership ID

Group Number

Name of Primary Insured / Policy Holder

Other Information

Do you have any recent (within the last two years) diagnostic tests or films, such as X-rays, MRI's, etc.?

Yes

No

Briefly describe the reason for your appointment:

Have you seen a specialist for this condition before?

Yes

No

Have you ever been a patient at Spine Team Texas?

Yes

No

Take the first step towards feeling better – contact Spine Team Texas. Our specialists will provide a comprehensive assessment of your back or neck pain and help you get back to what's most important – your life.

Southlake

1545 East Southlake Boulevard
Suite 100
Southlake, TX 76092
Get Directions

(817) 442-9300

Rockwall

3142 Horizon Road
Suite 100
Rockwall, TX 75032
Get Directions

(817) 442-9300

Alliance

10900 Founders Way
Suite 101
Fort Worth, TX 76244
Get Directions

(817) 442-9300

Richardson

3509 Spectrum Boulevard
Suite B
Richardson, TX 75082
Get Directions

(817) 442-9300

Bedford

1305 Airport Freeway
Suite 406
Bedford, TX 76021
Get Directions

(817) 442-9300

Allen

1120 Raintree Circle
Suite 110
Allen, TX 75013
Get Directions

(817) 442-9300