David L. Kramer, M.D.
David A. Bomback, M.D.
Kristy M. Zerfass, PA-C


39 Hospital Avenue Danbury, CT 06810 TEL: (203) 744-9700

     
  

New Patients

Appointments

Requests for treatment may be made by physician referral or directly by patients. Appointments are made by calling Connecticut Neck and Back Specialists at (203) 744-9700. Physicians or patients not requesting a specific Connecticut Neck and Back Specialists physician will be assigned one. Availability of new patient appointments varies with physician schedules. Patients will be scheduled into the first available new patient appointment.

Physicians referring patients with urgent needs can contact our office directly; our staff will work diligently to find the earliest possible appointment.

After an appointment has been scheduled, new patients receive a packet of orientation materials including background information on Connecticut Neck and Back Specialists, policies and procedures, a patient questionnaire and instructions for what to bring to the first appointment.

Missed Appointments

Effective January 15, 2009, Connecticut Neck and Back Specialists will require 24 hours notice for rescheduling appointments and appointment cancellations. Out of courtesy to our patients that are waiting patiently for availability in our schedule, we feel it is necessary to implement this policy. Missed appointments and appointments canceled without sufficient notice will be subject to a $50.00 fee. Please note that Insurance Companies will not reimburse for these fees; patients will be responsible for payment.

We thank you for your understanding and cooperation.

Initial Visits

Information pertaining to previous evaluation and treatment of spinal conditions is essential. All previous medical records must be sent to Connecticut Neck and Back Specialists two weeks prior to an initial visit or hand carried to the appointment. If these medical records and scans are not available at the time of the initial visit, the appointment may need to be rescheduled.

It is the patients' responsibility to bring the following to an initial visit at Connecticut Neck and Back Specialists:

  • Previous x-rays, CT scans or MRI scans: Actual films and reports must be provided; a report alone is insufficient.
  • Results of previous testing or treatment (EMG's, physical therapy, etc.).
  • Any corset, brace or support prescribed for use.
  • Completed Patient Demographic Form.
  • Completed Medical History Form.

Prior to the initial visit, all forms should be completed. Upon arrival at Connecticut Neck and Back Specialists, personal (address, phone number, etc.) and insurance information must be verified. The consent for treatment must be signed. Once registration is completed, patients will be called back to the first available examination room.

Once patients are brought to an examination room, they will be prepared for the examination. In order for the physician to perform a physical evaluation, patients may be asked to change into a gown.

Once these preparations are complete, a member of the physician's team will review medical history and records and perform a physical examination. Team members may include a nurse clinician or physician’s assistant. Once this information is gathered it will be presented to the Connecticut Neck and Back physician. The physician may also discuss medical history, review records and perform a physical examination.

After the review of records and examination are complete, each patient will receive an explanation of their diagnosis and recommendations for ongoing care, which may include non-operative and operative treatments. Additional diagnostic testing may be ordered before final recommendations can be made.

At the completion of the visit, clinical staff will provide instructions for follow up procedures and appointments, and give instructions on how to obtain additional information or follow up on any questions or concerns the patient may have.

The complexity of patients' needs or emergency situations may necessitate longer appointments or additions to the office schedule. We apologize in advance for any delays these changes may create with scheduled appointments.

Prescription Policies

Connecticut Neck and Back physicians will prescribe pain medication for a limited time as a part of surgical care. If ongoing pain management is necessary, patients will be referred to their primary care physician or a pain management physician.

The following policy is in place while patients receive medication from Connecticut Neck and Back Specialists: Connecticut Neck and Back physicians must be notified of all current medication use and if any other physicians currently prescribe medication.

Call the physician's nurse clinician if you feel dizzy, nauseated or itchy after taking medication.

If you feel the medications are not adequate for relief of your pain, discuss this with the physician or nurse clinician; do not increase the prescribed amount of medication without a physician's permission.

Medications are refilled Monday through Friday during business hours (8:30am - 4:30pm).

Medications are not refilled on evenings or weekends.
Please allow 48 hours for refill requests to be processed.

The following information is necessary when refilling a prescription.

  • Patient name
  • Date of Birth
  • Patient phone number
  • Connecticut Neck and Back physician
  • Type of medication
  • Amount of medication
  • Last time medication was refilled
  • Name and phone number of pharmacy where medication is to be refilled

ALL of this information is important in order to process refill requests. Remember the following when taking pain medication:

  • Many pain medications contain Tylenol (acetaminophen). Pharmacists recommend that acetaminophen intake should be limited to no more than 4,000mg (4 grams) in 24 hours. Liver damage can occur when these amounts are exceeded. Tylenol may also be found in other over the counter medications such as cough and cold medications.
  • Never mix any prescription medication with alcohol.
  • Do not drive a motorized vehicle while taking prescription medication as they may cause drowsiness.
  • Pain medication can be very constipating. To avoid this, eat a well balanced diet including fresh fruit, raw vegetables and other fiber rich foods. Drink 6 to 8 large glasses of water per day.

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Financial Information

Connecticut Neck and Back Specialists has patient account representatives who are available to assist you with the financial aspects of your care. If you do not find the answer to your question in this section, please contact a representative:

By phone:
(203) 744-9700

By fax:
(203) 744-9701

By mail:

Connecticut Neck and Back Specialists, LLC
39 Hospital Avenue
Danbury, CT 06810

Pre-Approval

Almost every insurance plan requires pre-approval for specialty care. Without specific approval, insurance carriers may not cover charges incurred for the unapproved visit. It is the patient's responsibility to obtain pre-approval from their insurance carrier. Certain insurance carriers may also require a specific referral from the patient's primary care physician.

Connecticut Neck and Back Specialists will assist patients in arranging all required authorizations needed for surgical procedures.

Preferred Providers

Our billing representatives are happy to help patients determine if Connecticut Neck and Back Specialists are participating providers in their insurance plan.  Please call us at 203-744-9700 for assistance.

Worker's Compensation

Connecticut Neck and Back Specialists participate with most state Worker's Compensation programs. However, you may be responsible for portions of your bill not paid by Worker's Compensation.
Authorization from your Worker's Compensation carrier will be required before scheduling an appointment. Connecticut Neck and Back Specialists will file a claim for authorized services. To expedite this procedure, you must have the insurance company’s name and address, adjuster's name, phone number, date of injury and your claim number available at the time of your appointment.

Motor Vehicle Accidents - Auto Insurance

All patients are personally and financially responsible for their medical care regardless of the nature of the injury or potential third party involvement.  Patients often believe that the other party will pay their medical bills as the accident was “their fault”.  Because of the individual nature and complexity of these cases, we will not accept a letter of protection from an attorney, and it is not possible for us to get involved in collecting from a third party.  However, Connecticut Neck and Back Specialists will submit claims to your auto insurance carrier. You will be responsible for portions of your bill not paid by your insurance company. To expedite this procedure, you must provide us with the insurance company’s name and address, adjuster's name, phone number, date of injury and your MVA claim number at the time of your appointment. 

In Connecticut, if you have medical coverage on your auto policy, your auto policy must be billed as primary.  If you did not purchase a medical rider on your auto policy, we will bill your private health insurance with a disclaimer of “no medical coverage on the auto policy”.

Payment Policy

All self-pay patients are required to pay in full at the time of service.  Patients with co-pays must pay their co-pay at the time the service is rendered.  Once we receive the Explanation of Benefits from your insurance company, you will be billed for any balance that you owe.  This amount is due in 30 days.

Accounts that are repeatedly ignored will be referred either to a collection agency or an attorney and you will be financially responsible for your outstanding balance and all legal fees involved.  Should this occur, you may be dismissed from the practice and asked to find a new physician.   

If a check is returned for insufficient funds, you will be charged an additional $15 on top of the amount of the check.

If you wish to suspend or terminate your treatment, any fees including reasonable fees as allowed by public health law for copying of medical records will be immediately due and payable. 

If you need to establish a payment plan, please contact our Business Office at 203-744-9700 prior to your scheduled appointment. 

Co-payments

A co-payment is an amount established by individual insurance plans and is usually specified on the insurance card. Co-pays are a required part of your contract with your insurance carrier and increase the cost of billing unnecessarily if not paid at the time of service.  It is required that this amount be paid at the time of service.

Personal Balances

Any portion of your bill that is not covered by your insurance carrier becomes your personal responsibility. Connecticut Neck and Back Specialists will bill individuals on a monthly basis and personal balances are due upon receipt of the statement. Payment terms may be arranged through the Business Office.

Fee for Service

If you need an estimate of charges for services you know you will be receiving, please contact the Business Office at (203) 744-9700.

Release of Information Authorization

A Release of Information Authorization (PDF) is included in your registration materials. This form authorizes Connecticut Neck and Back Specialists to release information to your insurance provider as well as any health care provider involved with your current treatment. A new Release of Information Authorization should be completed any time your coverage changes and yearly thereafter to assure that your claims will be promptly filed and paid.

HIPAA Information

Connecticut Neck and Back Specialists understands that health information about patients and patients' health is personal and confidential. We are committed to protecting health information about our patients. We are required by law to make sure that health information that identifies patients is kept private and to notify patients of our legal duties and privacy policies. A complete copy of our Privacy Practices is available here: HIPAA Notice of Privacy Practices (PDF).

Patient Forms

To save time during your appointment you can fill out these forms at home and then bring them with you.

Need Adobe Acrobat Reader?

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

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Common Spinal Conditions

Understanding Your Spinal Condition

Anatomy of the Spine
Ankylosing Spondylitis
Back and Neck Braces
Biological and Medical Risk Factors
Bone Grafts
Diagnosing Spine Problems
Lifestyle Risk Factors
Osteoporosis
Pain Medications
Possible Complications of Spine Surgery
Post Surgery Rehabilitation
Preventive Treatment Options
Spinal Rehabilitation
Surgical After Care

Neck Pain & Disorders (Cervical)

Anatomy of the Cervical Spine
Anterior Cervical Fusion
Cervical Corpectomy and Strut Graft
Cervical Fusion
Cervical Kyphosis
Cervical Laminectomy
Cervical Radiculopathy
Cervical Spinal Stenosis
Neck Pain (Overview)
Posterior Cervical Fusion
Rehabilitation of the Cervical Spine
Rheumatoid Arthritis of the Cervical Spine

Mid-Back Pain & Disorders (Thoracic)

Adult Kyphosis
Adult Kyphosis - Types and Causes
Compression Fractures
Herniated Thoracic Disc
Possible Complications
Scheuermann's Kyphosis
Scoliosis
Thoracic Spine Anatomy

Low Back Pain & Disorders (Lumbar)

Compression Fractures
Degenerative Adult Scoliosis
Degenerative Disc Disease
Intervertebral Cages
Laminotomy and Discectomy
Low Back Pain (Overview)
Low Back Pain in Athletes
Lumbar Herniated Disc
Lumbar Laminectomy
Lumbar Spinal Fusion
Lumbar Spinal Stenosis
Lumbar Spine Anatomy
Lumbar Spine Surgery
Pedicle Screws and Rods
Possible Complications
Rehabilitation for Low Back Pain
Sacroiliac Joint Syndrome
Scoliosis
Spondylolysis and Spondylolisthesis
Transforaminal Lumbar Interbody Fusion (TLIF)

Scoliosis & Spinal Deformity

Scoliosis
Adult Scoliosis
Adolescent Idiopathic Scoliosis

Radiological Imaging, Tests & Procedures

Bone Scan
CT Scan
Discogram
EMG
Epidural Steroid Injection (ESI)
Facet Joint Block Injection
Lab Tests
MRI Scan
Myelogram
Somatosensory Evoked Potential
Spinal Injections
Spinal Tap
X-ray