Info for Examinees

PRIVACY PRACTICES: HIPAA

Before Your Appointment

 

Please download the forms. Complete forms by either filling the form out using your PDF application or print and fill out by hand. Completed forms should be uploaded when you schedule your exam or faxed to: 1-888-811-9816

Please complete both the registration form and the work history form. Please contact us if you have any questions or need assistance.

Please do not email your registration forms. Email is not a secure method for transmitting confidential medical data.
We cannot accept and will not open forms transmitted via email.

STEP 2

Send Confirmation to:
Confirm@cspime.com
Name - Date
Time - Location
Case Number

STEP 3

Find Your Location


Be sure to bring your
Registration Packet & Work History Form to your office visit