New patients are asked to bring the following documents with them for the visit;

1)      We except Both Insured and self-pay patients. A Valid state I.D is required for the visit as well as if they are covered by insurance, they’re required to bring the insurance card the day of the visit.

2)      If They have seen a Previous Pain Management Doctor, we request they bring in all  previous pain management medical records. (including: X-RAYS, EMG TESTING, CT SCANS & MRI’S)

3)      If They have NOT seen a pain management doctor, we request they bring in any form of records pertaining to the visit. (including: X-RAYS, EMG TESTING, CT SCANS & MRI’S)

4)      If The Patient is currently taking medications we request they bring in there pharmaceutical printout from the pharmacy they are currently receiving medications.

 

New Patient Intake Form

 

Insurance Guidelines