By filling out an MRI Review form, you acknowledge that [1] The MRI review is only an informational review of the documents and radiographic images that you are providing; and [2] The information provided by Premier Spine Care is not a diagnosis. A diagnosis and a final determination of whether you may benefit from treatment at Premier Spine Care can only be made after you have been physically examined by our medical professionals at Premier Spine Care. The MRI Review has no value and will not be billed. By providing your telephone number to Premier Spine Care via this contact form, you acknowledge and agree that you may receive a telephone call from Premier Spine Care, at the number you provided via the online form, to receive information regarding the services provided at Premier Spine Care. By providing your mobile number to Premier Spine Care, you further acknowledge and agree that you may receive text messages (SMS) from Premier Spine Care at the number you provided to Premier Spine Care. Protected Health Information will not be requested by Premier Spine Care, if you choose to respond with Protected Health Information you agree to release Premier Spine Care from any liability related to such disclosure. Be advised that any telephone calls and/or text messages are strictly informational and/or transactional in nature. Premier Spine Care therefore does not accept liability for any errors or omissions in the contents of email messages, or any responding emails that contain confidential patient information, which arise as a result of email transmission. This statement is required by Electronic Communications Privacy Act, 18 U.S.C. Sections 2510-2521
