Become a Patient

We hope the following information will help us work together to defeat your chronic pain.

Preparing for your First Visit

Your initial visit will include an evaluation based on current symptoms or conditions and a thorough medical history. In addition to the completed Pre-Registration Form, you will need to have any other pertinent information including your medical history, past x-rays and/or test results. If you need assistance gathering this information, please contact your referring physician.

Please print and complete the forms below prior to your first visit. You may type your answers on these forms and then print out the document; however you will not be able to save the document to your computer. Finally we ask that you bring a Government issued ID (such as a drivers license) and your insurance cards with you to all our centers.

Forms

Before your first appointment at our center, please complete the Pre-Registration Forms and bring the forms with you to your first visit to expedite the visit. We also request that you obtain your medical records from other health care providers. These two steps will assure we have the appropriate information to provide you with the best medical opinion during your initial consultation.

Pre-Registration Form 1

Pre-Registraton Form 2

(Every new patient must complete form 1 and 2 before an appointment) 

 

 

*Due to patient confidentiality, we cannot accept the form electronically.

If you are seeing one of our physicians for a procedure after an initial office visit, please click on the link below to view pre-procedure instructions.

Pre-Procedure Instructions (PDF 1MB)