Ascension Providence Hospital Online Spine Surgery Education (Full version)
Thank you for participating in the online spine class prepared by Ascension Providence Hospital. We know having spinal surgery can be an especially stressful event in your life and we want you to be informed about every step of the process, from preparation the weeks before surgery to the recovery time after.

This class was designed with that in mind. There will be several videos followed by short quizzes. Please first enter your name, DOB, date of surgery and location. Then scroll down to the first video to get started, click the 'Next' button to go to next section. You must click 'Submit' at the end of the last quiz for your session to be saved.

Good luck and speedy recovery
Sign in to Google to save your progress. Learn more
Name: *
Date of Birth *
Date of Surgery *
MM
/
DD
/
YYYY
Location of Surgery *
Spine Class (Introduction)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Michigan Spine & Brain Surgeons, PLLC. Report Abuse