Getting You Back To Healthy Living


Surgery Is Never The First Choice

Bend Spine and Neurosurgery is so glad you have decided to consider our practice to help you improve your health and quality of life.

It is our number one goal to make sure that you are as healthy and as happy as possible, and we want to ensure you do not have any disruptions in your normal routines.

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Please Fill Out The Below Forms Before Your Visit

  • Consent Form – This form gives Dr. Belza consent to use your health information to make decisions regarding your care and to coordinate with other health care providers.
  • Medical History Form – This form will help Dr. Belza understand your medical history.
  • Symptom Review Form – Check mark your symptoms for the past 6 months and circle symptoms for the scheduled visit.

If You’re Hurting, We Want To Help

It is of the utmost importance that we keep you up to date and informed on what is going on with your health. Even if it is something that we think you may not want to hear, we will still let you know so that treatment can be started immediately, as this will help the treatment to be most effective.