See a Specialist Today! Call 1-888-SPINE-1-1


Certified Spine Specialist Application

Please confirm that all (maximum of four for a group practice) non-surgical specialists featured in your practice satisfy the following criteria. Check all which apply (please note that the below objective criteria are required for inclusion and will be independently verified):


Please categorize your practice (select one please):


Please advise of the other disciplines of non-surgical and surgical spine specialists which are included in your group. Please select all that apply:


Please indicate those professional societies within which your featured non-surgical specialists are members in good standing. Please select all that apply:


Please indicate those advanced levels of training /certifications which are held by the featured non-surgical specialists in your group. Please select all that apply:

Please select from below those professional experience and academic descriptors which accurately characterize the experience and academic activities of the featured clinicians in your practice. Please select all that apply:
Average years of practice (select one, average of the featured and maximum of four specialists in your group):