New Patient Paperwork

At Deuk Joint Institute, a division of Deuk Spine Institute, we want your first visit to be smooth and stress-free. Complete your new patient paperwork before you arrive so we can focus on getting you lasting relief from joint pain.
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Please Remember to Bring to Your Appointment

  • Bring your completed new patient 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, or CT scans. You may need to pick these up from the imaging facility.
  • Bring a current list of medications, including dosages.
  • Patient responsibility is collected at the time of visit.

Visit Deuk Joint Institute

7955 Spyglass Hill Road, Suite A
Melbourne, FL 32940
Phone: (321) 255-6670
Fax: (321) 242-2545

Office hours are Monday through Friday, 8:00 AM to 5:00 PM EST.

Download Your New Patient Paperwork

Click below to download our new patient paperwork. Once complete, email the forms to [email protected] and our team will contact you within 48 hours to schedule your initial consultation.
Note: this paperwork is for in-office appointments only.

Most major insurance plans accepted.