WELCOME TO KEEM SPINE INSTITUTE
In our practice, we strive to attain the best possible healing and recovery for every patient.
Because every patient is unique, we prescribe treatment based on a thorough evaluation, which we perform utilizing the latest technological advancements available.
We believe in evaluating patients promptly and educating them on their diagnosis, so they can play an active role in the decision-making and treatment process.
Our clinical experience has shown us that patients who participate in their own health care decisions are far more likely to achieve an optimal level of healing and recovery.
To expedite your first visit, please download and complete the patient questionnaire and privacy practices (HIPAA) form prior to your scheduled appointment and present them to the receptionist along with your insurance card(s) and drivers license.
These are the items necessary for your first visit:
- Complete paperwork
- Insurance Card
- Picture I.D./Drivers License
- All radiological films pertaining to your visit with Dr. Keem (Actual films or Disc, they CANNOT be faxed)
- The written report that goes along with your radiology films
- Referral to our office, if your insurance requires one
- Copay
- List of ALL medications and dosages
Patient Intake
Worker's Compensation Intake