Your Visit

First Visit

The physicians and surgeons at Mt. Tam Spine Center believe in maximizing the time used to examine you and answer your questions regarding your condition and treatment options.  As such, for your first visit, we ask that you fill out the forms to the right titled "Initial Visit", "Demographic" and "HIPAA Privacy Notice".  Please bring these forms with you when you come for your visit.

Follow Up Visit

If a physician or surgeon has already evaluated you at the Mt. Tam Spine Center and you are coming in for a follow up appointment, please fill out the form on the right titled "Follow Up Visit".

If you already had surgery by either Dr. Byers or Su, in addition to the "Follow Up Visit" form, please fill out either the Cervical (Neck) or Lumbar (Low Back) outcomes form on the right. 

If your visit is for Physical Therapy, please complete the forms titled PT New Patient, PT Medical Intake and HIPAA Privacy Notice.

Surgical Patients

If you have surgery scheduled with Dr. Byers or Su, there are several forms that need to be completed prior to surgery that you received during your office visit to schedule surgery.  As a convenience, we have included these forms on the right  including the "Surgical Consent".

Accepted Insurances

  • Medicare
  • Partnership HealthPlan of California
  • Railroad Medicare
  • Champus/TriCare
  • HMO Contracts (through Meritage IPA)
  • Aetna
  • Blue Cross/California Care
  • Blue Shield
  • Cigna
  • HealthNet
  • Pacificare/United Healthcare
  • SCAN (Senior Plan)
  • Western Health Advantage (Senior Plan)
  • Covered California Plans(Obamacare)
  • Western Health Advantage
  • Health Net
  • Blue Shield EPO
  • PPO Contracts
  • Aetna
  • Blue Cross
  • Blue Shield
  • Beech St/Capp Care
  • Choice Care/Humana
  • Cigna
  • Galaxy Health Network
  • Great West Life
  • HealthNet
  • Interplan
  • Multiplan/Admar/BCE Emergis
  • North Bay Health Partners/MGH Employees
  • Pacificare/United Healthcare
  • PHCS
  • USA MCO
  • Three Rivers Provider Network

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

back to top

NASS Marin General Hospital AAOS Scoliosis Research Society American Board of Orthopaedic Surgery Cervical Spine Research Society