Thank you for choosing Pain and Rehabilitation Solutions. To make your first visit to the practice more enjoyable, please read the information below.
Please use the following link to print and fill out our insurance coverage and patient health history form to save time the day of the appointment. Download, print and complete the form at home before you arrive at the clinic. If you prefer to complete the paperwork at our office, please arrive 30 minutes early for your appointment.
Any medical records that you can bring would be greatly appreciated as it would allow us to have an up-to-date history of your health. Please bring any x-rays or laboratory test results you may have.
The forms are in the PDF format; in order to view them you will need a PDF viewer such as Adobe Reader. If you do not have Adobe Reader you can click here to download it FREE.
- Patient Information Initial - AUTO (Download Form)
- Patient Information Initial - MEDICARE (Download Form)
- Patient Information Initial - PERSONAL INJURY (Download Form)
- Patient Information Initial - WORKER'S COMPENSATION (Download Form)
"Pain & Rehabilitation Solutions Pain Management Program helps you recover a healthy and productive life."