Alternatively, you can
Download the form by PDF,
print, fill out the form and send it by e-mail or fax to the APEX SPINE Center
( from Germany: 0700 - 20 4000 20 and from abroad: 0049 - 700-20 4000 20).
Where in your body is the pain located?
Click to enable/disable a spot
You have the ability to upload up to 5 files (eg findings, radiographs, etc.)supported file formats: JPG, PDF, GIF, PNG, DOC, DOCX, DICOM, ZIP
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