Attention Patients:

If one or more of the following pertain to you as a patient, your appointment may need to be changed.

  • Recent Work-related Injury.
  • Currently taking blood thinning medication.
  • Currently using an antibiotic.
  • Fever.
  • Have had a flu shot within the past 7 days

Please call the office immediately to see if changes need to be made.

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Patient Forms

This section of the website will allow you to view, print and complete all required forms before you visit PainCARE. You may either: print each form and fill it in by hand and bring the papers to the PainCARE office before your appointment; or, fill out the forms online and have the information sent (securely) to PainCARE's office. Printable documents are available in .pdf file format. To view these files, you will need Adobe® Acrobat® Reader. The free downloadable version is available here.

Patient Information Forms

If you have any questions regarding the form you are to fill out, please contact us.
Patient Information Form
Initial Patient History Form
General personal and insurance information. Asks specific pain-related questions:
Symptoms? Medications? etc.

Adobe Acrobat (Printable)

Adobe Acrobat (Printable)
 

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