Contact Us

 

Dr. Amos Dare
1397 Medical Park Blvd
Suite 400
Wellington, FL 33414
Phone Number: (561) 844-0120

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Medical Information
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Is your problem a work related injury?
Please indicate your insurance category: PPO
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Auto Insurance
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Describe your problem:

If your predominant pain is neck related, please check the following if you have one or more of these symptoms:
Left arm pain, numbness or weakness
Right arm pain, numbness or weaknessIf your predominant pain is low back related, please check the following

if you have one or more of these symptoms:
Left leg pain, numbness or weakness
Right leg pain, numbness or weakness

If your predominant complaint is thoracic (mid back pain) Mid back pain

Have you had spine surgery? If yes, when, where, and who was the surgeon?


Have you seen a surgeon? What was recommended?


Have you had a MRI scan? If so, what is the impression or summary at the bottom of the scan report?
(It is very important that you let us know the the entire summary  at bottom of your scan report.)


What tests and treatment have you had?


What questions would you like to ask us?


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