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Central CT Neurosurgery & Spine
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    • Back & Neck Pain
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Request An Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (860) 225-1227. After you submit your request, our appointment scheduler will respond within 48 hours.  Please note that your requested date/time may not be available but we will do our best to find the first available appointment that fits your schedule.  Please be ready to give the appointment scheduler your insurance information when they contact you.

See below for forms to complete.

Patient Registration Forms

Central CT Neurosurgery & Spine in New Britain, Connecticut, welcomes you to our practice. Once you have made your initial appointment, you may download and print the forms, fill them out, and bring them with you to your first visit. If you are unable to print the forms, let us know and we can mail the forms to you if there is enough time to do so before your appointment. Completing the forms prior to your visit will help speed up the new patient registration process.

Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

Downloadable Forms:

  • New Patient Registration

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
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<img src="pain.jpg" alt="older man getting treatment for spine pain" />

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  • Address:
    One Liberty Square, 1st Floor
    New Britain, CT 06051
  • Phone:
    (860) 225-1227
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    (860) 225-1253
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At Central CT Neurosurgery & Spine, Dr. Ahmed M. Khan specializes in advanced techniques to treat Back and neck pain, TBIs, and tumors, and minimally invasive spine surgery.