Online Form
OFFICE APPOINTMENTS:
- You can make an appointment with our office by calling 561-501-7445. Hit 1 for appointments, and please specify which location and doctor you prefer.
- Complete our office form by visiting the FOR PATIENTS tab on our website or clicking on the red button above. Click on online forms. If you are using a laptop or cell phone, you can download the PDF Filler app or continue in the browser. Provide your name and email address, and hit the Get Started button. You will have to accept the electronic terms and proceed. Once completed, please make sure you hit finished so that we receive your copy.
- Bring in your picture ID (driver's license or passport)
- Bring your insurance cards (health primary and secondary and auto insurance if related to MVA)
- Bring your medical records from physicians who have treated you for the reason you are seeing our doctors. If you prefer to email them, JPuelles@brainandspinemds.com
- Please bring your radiology studies (MRIs, CT Scans, X-rays, Myelograms). ** Please note that if you had your studies done at the following centers, we can access them online: Advanced Diagnostic, Beaches, Boca Raton Medical Center, DCA (Diagnostic Centers of America), Delray Medical Center, Independent Imaging, MRI Specialists, Palm Court, Stand UP, and University MRI.
TELEMEDICINE APPOINTMENT:
Please follow the instructions above except:
- Email your picture ID to Vtollinger@brainandspinemds.com
- Email your insurance cards (primary health insurance and secondary if applicable or auto if MVA related)
- Email or fax your medical records - fax: 561-562-5061
Please bring your radiology studies and drop them off in the office (MRIs, CT Scans, X-rays, Myelograms). ** Please note that if you had your studies done at the following centers, we could access them online (no need to drop them off): Advanced Diagnostic, Beaches, Boca Raton Medical Center, DCA (Diagnostic Centers of America), Delray Medical Center, Independent Imaging, MRI Specialists, Palm Court, Stand UP, University MRI.
EMAIL INFO: Bkieran@brainandspinemds.com Fax: 561-562-5061
RESOURCES:
Department emails: For further assistance, please email our staff.
Legal Department Coordinator – Matthew Kauget: MKauget@brainandspinemds.com
Billing inquires – Tiffany Rosario: Trosario@brainandspinemds.com
Medical records – Legal Department: Legal@brainandspinemds.com
Surgical Scheduling for W. Comp, auto or DR. Packer: Diana Panek Dpanek@brainandspinemds.com
Surgical Scheduling for Dr. Zucker, HIFU, DBS, DR. Young, or Dr. Burke–Showan: HHuang@brainandspinemds.com
Workman's comp surgical Scheduling – Diana: DPanek@brainandspinemds.com
Physician MA (prescription renewals) – Jorge Puelles: Jpuelles@brainandspinemds.com
Front office (patient forms): Tvollinger@brainandspinemds.com
All PPO Insurance Accepted as OON. We are Medicare providers and are in a network with Blue Cross Blue Shield and Multiplan. HMO Referrals must be received from your primary doctor before your appt.