Appointments

CTSI News

Appointments

There are several ways to request an appointment with the doctors of Central Texas Spine Institute. You can call the office at 512 795-2225 and have one of our "front desk" staff assist you. To facilitate the appointment process, please have your insurance information readily available as we will ask you questions about your coverage.

An alternative method of requesting an appointment is to complete and submit the following on-line form. A member of our staff will then call you to confirm a requested appointment date and time.

Once your appointment is confirmed, you can either come to the office approximately 30 minutes before your appointment time and complete requisite paperwork or you can download the forms from our website, complete them, and bring them with you at the time of your appointment.

We also require that you bring any recent X-Rays, MRIs or CT scans with you to your appointment. Without those films and reports, we may have to reschedule your appointment so that we do not duplicate diagnostic tests.

Also, if your insurance plan has an office visit co-pay, you will be expected to pay the co-pay at the time of your visit.

Call 512 795-2225 (outside Austin area call 1 800 555-2412) or complete the Appointment Request Form below to schedule an appointment with:

Neal H. Blauzvern, D.O. - Pain Management

Randall F. Dryer, M.D. - Cervical and Lumbar Spine

O. Atilla Onan, M.D. - Cervical and Lumbar Spine

James L. Smith, Jr., M.D. - Cervical and Lumbar Spine

Richard M. Wupperman, M.D. - Cervical and Lumbar Spine

Appointment Request Form

Please note the following satellite offices and schedules:

Marble Falls - Dr. Smith, 1st and 3rd Friday mornings of each month

Round Rock - Dr. Dryer, 1st, 3rd and 5th Friday mornings of each month

Preferred Physician / Location

Type of Appointment New Patient Follow Up

Patient Name

Address

City State Zip Code

Home Phone (Include area code) Work Phone (include extension)

Cell Phone

Email address

Date of Birth (mm/dd/yyyy)

Insurance Plan Name PPO HMO POS Other

Insurance Policy # Group ID #

Insurance Phone #

Description of Problem

How did injury occur? Date of Injury (MM/DD/YY)

Employer Phone #

Contact

Referred By Please specify

Preferred Appointment Day Preferred Appointment Time

Other Comments

Please note that the information on this form is submitted to Central Texas Spine Institute via email that is not secure!

Forms

Once your appointment has been confirmed, you can download an ADOBE pdf version of our new patient registration forms, complete them, and bring them with you to our office for your initial visit. If you do not have ADOBE Reader, you can download a copy by clicking on the ADOBE Reader icon below.

The following 3 forms are required for Drs. Dryer, Onan and Smith only

Patient Information Form

Medical & Spine History Form

Pain Drawing

The following is Dr. Blauzvern's Complete Patient Packet

Please download and complete both the Patient Packet and the Narcotics Agreement

Dr. Blauzvern's Patient Packet

Dr. Blauzvern's Narcotics Agreement