Patient Forms at Omni Spine Pain Management in Texas
For your convenience, you may download, print and complete the new patient forms. Please do not forget to bring them to your first appointment with us. This will help get you checked-in and ready for your appointment quicker.
Categories of Data Collected
Your privacy is important to us and we want you to feel comfortable visiting our site. Any personal information that you give to us, including but not limited to your name, address, phone number, e-mail address, insurance, or social security number, will be used only in the following ways:
Use of Collected Data
While visiting our site, if you give us personal data in order to receive information from us, to pre register for an event, or to pre-register for inpatient or outpatient services, we will collect and store that personal data. If you give us personal data in order to pre-register for inpatient or outpatient services through an affiliate’s website, the affiliate may share the personal data with contracted service providers to verify the accuracy of the data and complete the registration process. We do not automatically collect your personal e-mail address, or any other data, simply because you visit our website.
If we partner with a third party to provide services and you sign up for those services, we will share your name and other contact information necessary for our partner to provide the services to you.
If you view specific pages or download information from specific pages on our site, we will track and add the number of your visits to the aggregate number of visits by all users in order to better design our site. We may share aggregate demographic information with our affiliates. This is not linked to any personal information that can identify you or any other visitor to our web site.