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ENQUIRY FORM

Please complete the sections below.

A patient manager will contact you the next working day.

1. Personal details

Date of birth:
Sex:
Contact preference:

2. Patient criteria

  • Have you been diagnosed with lumbar/degenerative disc disease?
  • Are you suffering with (chronic) back pain and sciatica?
  • How long have you been suffering?
    Years
    Months
  • Do you have a recent Lumbar MRI scan?
  • Have you been offered or undergone treatment such as Cortisone injections, discectomy, spinal fusion or other therapy?
  • Are you ready for surgery to permanently cure your condition?
  • Are you willing to travel to Montpellier, France? Your stay would be, typically, 9 days in total.
  • Are you able to self-fund the treatment? (Typically, £32K+)

By clicking submit, you consent to SpinePro sharing your personal data with CCV for diagnostic purposes based on information herein this website. Please see our Privacy Policy for further details of how we manage & use your personal data.

For your information

Your data will remain strictly confidential and secure. Only the CCV Montpellier surgical team and the SpinePro service team will have access.

Medical opinion is governed by Article R.4127-53 of the Public Health Code of France. It is not comparable to a consultation and does not give rise to fees. Fees are only charged if a medical act has been carried out, for which the doctor is responsible, including an act relating to teleconsultation (see E-Diagnosis). Free medical advice is not a "medical act", does not engage the responsibility of its author and is not adapted in the event of an emergency.