FOR PHYSCIANS (ARNP’s, PA’s , MD’s DO’s ND’s and DC’s):
Verification of Diagnosis Criteria without Medical Complications / Signature Page for Physicians
Copy of Referral Pad / Script and FAX info (Includes maps to our facilities )
FOR PATIENTS SEEKING PARTICPATION + BACKGROUND INFORMATION FOR PHYSCIANS:
Copy of Referral Pad / Script and FAX info for your Doctor (Includes maps to our facilities )
Informed Consent Form and Agreement to Participate in Clinical Research for Low Back Pain
Here's a link to NiH's Research Guidelines:
*This document will be reviewed in full with you by Alliant Spine Project's Research Coordinator Kenny Li, B.Sc. (contact him at Kenny@AlliantSpine.com)
FOR PHILANTRHROPISTS, GRANT WRITING APPLICATORS, and DONORS:
This research program is solely funded by doctoral research graduate student and practicing clinician- Timothy J. Sobie, MS, PT, (Ph.D. Candidate) - who also functions as its principle investigator. Anonymous or Informed financial support, with discussion of the study’s unique design and implications for future societal benefit in terms of costs, changing of illness perspective, and enhancing a productive quality of life, can be discussed inter-personally and directly via contacting email@example.com.
Collaborate with us while receiving treatment and you will contribute in research towards relieving chronic pain and improving the quality of life for individuals like yourself.
New and exciting discoveries are now revealing how uniquely devised Neuroplasticity Techniques can be applied to help ameliorate many cases of long standing chronic pain problems and multifaceted pain syndromes involving multiple regional areas - both within and throughout the neuro- musculoskeletal regulatory systems of affected or afflicted individuals.
You too can make an important contribution to our unique field of innovative clinical research in comparing the efficacy of various inter-disciplinary approaches to multifaceted chronic pain problems -- especially the misunderstood problem of chronic recurrent low back pain. You can do this most directly as a patient-participant, as a referring physician, or as a funding grant writer or donor.
In partnership with area physicians, we are seeking the referral of patients as participants and subjects who meet diagnostic criteria for Chronic Nonspecific Low Back Pain (CNSLBP) to qualify for our on-site initial screening and review.