4 Convenient Locations:
Baltimore Laurel Takoma Park | Woodlawn

New Patient Paperwork

Back and Pain Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.
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What Our Patients Say

"The entire staff...goes out of its way to provide...fast, personal service, making my job easier...I strongly recommend Dr. Stutman’s offices to attorneys who represent accident victims."
Attorney Neil J. Fagan

“Dr. Yizhak and his assistant are excellent at their work, I'm so happy with the results in my treatment. Thanks a million!!!!”
Anonymous

"Last night was the first time I was able to sleep through the night without waking up with discomfort or pain. Thanks"
R. Kaplan