i dont have the short form in front of me so i wasnt sure if they asked the doctors name. if it were me i would just put the last 3 visits of the doctors that are currently helping you with your neck/back injury and the diagnosis that you are receiving ssdi for. if you have more than one condition which social security listed as the reason you were approved then make sure to list a visit for that condition also. it doesnt have to be the surgeon who did the operation it could be the doctor that is currently seeing you for you listed condition. you do have pretty low numbers so i wouldnt sweat it too much. if you click that link you will see that the state of new york advises to only write you condition for reason for the visit.