Patient Resources

Minimally invasive pain relief treatment

You can download the following forms and informational notices:

Authorization Form for Release of Medical Records and-or X-Rays
Financial Policy and Agreement
Notice of Privacy Practices
Pain Evaluation and Management Form
Patient Authorization to Use or Disclose Protected Health Information (HIPAA)
Long-Term Controlled Substances Therapy for Chronic Pain

For your convenience, all of our forms and other information are available for download as PDF files. To view these files, you will need Adobe Reader. You may download Adobe Reader for free by clicking the button below:

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