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Chin-on-Chest Syndrome

Degenerative Disc Disease

Failed Back Surgery Syndrome

Herniated Discs

Spinal Deformities

Spinal Fractures

Spinal Stenosis

Hand & Wrist Pain

Carpal Tunnel Syndrome

Wrist Sprains and Strains

De Quervain’s Tenosynovitis

Fractures of the Finger, Hand, or Wrist

Hand & Wrist Arthritis

Trigger Finger and Mallet Finger

Tendonitis in the Hand or Wrist

Meniscus Injury

Rheumatoid Arthritis

Foot & Ankle Pain

Achilles Tendon Injuries

Foot or Ankle Bone Spurs

Foot and Ankle Fractures

Foot and Ankle Sprains

Plantar Fasciitis

Neurological Conditions

Complex Regional Pain Syndrome (CRPS)

Diabetic Neuropathy

Frozen Shoulder

Rotator Cuff Injury

Collarbone Injury

Vascular Conditions

Venous Insufficiency

Soft Tissue Injuries

Orthopedic Spine Care

Foot & Ankle Care

Hand & Wrist Care

Pain Management

Joint & Extremity Care

Physical Therapy

Occupational Therapy

Neck Treatments

Neurological Treatments

ShockWave Therapy

Chiropractic Care

General Surgery

Sports Medicine

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Orthopedic Spine Treatments

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Orthopedic Spine Treatments

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Orthopedic Spine Treatments at Alliance Orthopedics

Alliance Orthopedics realizes that back pain can be more than just a nuisance. Back pain is one of the leading causes of lost workdays each year and can impact both your physical and emotional health. Whether your back pain is moderate or severe, Alliance Orthopedics has a treatment plan that’s right for you.

Types of Treatments

Non-Surgical Spine Treatment
Surgical Spine Treatment
Interventional Spine Treatment

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Do You Have Pain?

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First Name*

Last Name*

Email*

Phone*

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Location*

Primary Area of Pain*

Reason for Visit (check all that apply):

Headache/Migraine

Wellness (No Pain)

Mid Back Pain

Neck Pain

Wrist/Hand Pain

Neurological Condition

Vertigo

Lower Back Pain - Sciatica

Lower Back Pain - Axial

Hip Pain

Shoulder Pain

Concussion

Scoliosis

Foot/Ankle Pain

Leg Pain

Elbow Pain

Knee Pain

Other Condition

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I acknowledge that information submitted through this form will be sent via email, which is not a secure messaging system. Please refrain from sharing private health information here as we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form. This form is for appointment requests only. To confirm your appointment, a patient advocate will contact you for insurance details, coverage verification, and benefits discussion. No doctor's referral is needed for consultations or treatment. Please note we accept out-of-network payments from many commercial carriers, we are in-network with Medicare, and we do not accept Medicaid. By sharing your phone number, you agree to receive SMS from Alliance Orthopedics. Standard rates apply. For data handling details, visit here. We do not share your mobile info with third parties, except for text messaging originator opt-in data, which remains confidential.*

*In order to confirm an appointment, a patient advocate will reach out to you to gather your insurance information to verify your coverage and go over your benefits one-on-one.

**Please be aware this is an appointment request.

A doctor’s referral is not necessary to see our team for a consultation or to receive treatment.

We accept out of network payments from the commercial carriers, but we do not accept Medicaid.
Aetna, BCBS/Anthem, Cigna, Magnacare, GHI/Emblem, Horizon, Amerihealth, United Healthcare, Meritain, Medicare.

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Alliance Orthopedics, with offices in New Jersey, is a multidisciplinary practice focused on helping patients and their families get better faster.

The staff consists of highly trained and licensed professionals includes specialists in orthopedic surgery, sports medicine, pain management, chiropractic care, physical therapy, dry needling, and occupational therapy.

Alliance Orthopedics speaks these languages: English, Hindi, Spanish, Mandarin, Hebrew, Korean & Russian.

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