The Center for the Functional Restoration of the Spine offers the following documents online for your convenience. Adobe Acrobat Reader is needed to view and print these documents. If you do not have it you may download and install it for free by clicking here.

Required Forms for New Patients

All new patients whom have scheduled appointments should complete one of the forms below and bring to the initial visit to provide us with background information about insurance coverage.

Please select the appropriate Doctor's form below:

Dr. Steven J. Paragioudakis New Patient Form

Dr. Marc S. Menkowitz New (Orthopaedic) Patient Form

Please Be Prepared to Present the Following Items at the Time of your Visit:



Completed New Patient Packet for the Provider that you are Scheduled to See


Photo Identification                      (State or Government Issued)


Updated Insurance Card


Bring any CD's, Films or Reports of any Testing Previously Completed

If you have any questions about these items before your visit please do not hesitate to contact our office directly so that you will have to complete minimal paperwork when you arrive. Office Number (732)380-1212.

Medical & Film Release Forms

This form is to be used to authorize The Center for the Functional Restoration of the Spine to release medical information or records.

Download the Medical Record Release Form below.

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Copyright © 2019 CFRS. All Rights Reserved.The information on this web site is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. Always consult your doctor about your medical conditions or back problem. Use of the web site is conditional upon your acceptance of our legal agreement.