New Patient Paperwork

Our mission at Deuk Spine Institute is to fix back, neck and joint pain through a continuum of care philosophy in state-of-the-art facilities with world class Surgeons and Physicians. We want you to have exceptional service and the best medical care available anywhere, and we pledge to put the Patient First.

Please Remember to Bring to Your Appointment

Bring your completed packet to your appointment.
Bring your most current insurance card(s), including secondary insurance and a photo ID.
Bring films or CDs with reports pertinent to your visit that were done in the last six months. (MRIs, X-Rays, CT scans.) You may need to go to the facility to pick them up.
Bring a current list of medications including dosage.
Patient responsibility is collected at the time of visit.

Deuk Spine Institute

7955 Spyglass Hill Road Suite A, Melbourne, FL 32940

Phone: (321) 255-6670

Fax: (321) 242-2545

Office hours are Monday through Friday, 8:00am to 5:00pm EST.

Download New Patient Paperwork

Click the button below to download our New Patient Paperwork. Once complete, email the paperwork to [email protected]. You will be contacted within 48 hrs. to schedule your initial consultation.

Note: This is for In-office appointments only.

Curing Back and Neck Pain with Our State-of-the-Art Treatments

Deuk Laser Disc Repair® has patients back on their feet within an hour, feeling zero pain.

Discover if you’re a candidate for our proprietary procedures with 0.01% complication rates and 99% average pain relief.

Most major insurance plans accepted.