DIGITAL SPINAL X-RAYS

Available right in our office, conclusive X-ray results are immediate and visible to you during the appointment.

With X-ray diagnosis, Dr. Urban can look at how the function of certain structures and tissues are contributing to a problem.

All your tissues and bones are connected, and the root cause of certain problems may only be identified with the visual images that an X-ray provides.

Please complete the form below to schedule a spinal assessment including digital X-rays.

Name

First Name

Last Name

Phone

(###)

###

####

Subject

Preferred visit date

YYYY

What best describes your principal physical activity?

Where are you experiencing pain?

Back

Neck

Shoulder

Hip

Foot

Ankle/Knee/Leg

Hand

Wrist/Elbow/Arm

Other

Anything else you'd like us to know?

DIGITAL SPINAL X-RAYS

Available right in our office, conclusive X-ray results are immediate and visible to you during the appointment.

With X-ray diagnosis, Dr. Urban can look at how the function of certain structures and tissues are contributing to a problem.

Please complete the form below to schedule a spinal assessment including digital X-rays.

Thank you!