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145 Inverness Drive E, Suite 100 • Englewood, CO 80112
Appointments: (303) 697-7463

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Patient Forms

New Patients:

New Patient Packet

Spine Surgery Forms:

Pre & Post Surgery Instructions
Discharge Instructions
Medication List
Pain Contract
Disability Form Policy

Outcome Forms:

The mJOA Questionnaire
SF-12 Health Survey
mNDI
mNDI neck
mNDI arm
EQ5D and VAS

Consent Forms:

Rose Informed Consent
Informed Consent – MHSC
Addendum to Consent
Costs Associated With Surgery
Complex Spine Surgery
Spinal Instrumentation Disclosure

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Sanjay Jatana, MD • Specializing IN COMPLEX BACK AND NECK SURGERY

Phone: 303-697-7463
145 Inverness Drive E, Suite 100
Englewood, CO 80112
SanjayJatanaMD.com
Email Dr. Jatana’s office
Click here for directions

Affiliations

Colorado Spine Partners
Rose Spine Institute — Denver
Sky Ridge Medical Center
Presbyterian/St. Luke’s Hospital
Mile High Surgery Center

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