New Patient Paperwork

Prairie Spine offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Auto Accident Intake Form

    Click to Download

For HealthPartners, Media, United Healthcare, and Medicare patients:

Please also print and complete the Back and Neck Index forms and bring to your appointment.

  • Back Index Form

    Click to Download

  • Neck Index Form

    Click to Download

OFFICE HOURS


Monday
9:00am - 12:30pm
3:00pm - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
7:00am - 12:00pm
2:00pm - 5:00pm


Thursday
9:00am - 12:30pm
3:00pm - 6:00pm


Friday
7:00am - 10:00am


Saturday 
Open two times a month.
Call to see what days are available.


Sunday
Closed

Prairie Spine

7525 Mitchell Rd STE 300
Eden Prairie, MN 55344

P: (952) 974-2091
F: (952) 974-2296