Click here for our

Patient Resources

Are you looking for new patient paperwork, a records release form, or our treatment agreement? You can access those forms below. If you can’t find what you’re looking for or you have questions, please call us at (614) 383-6450.

New Patient Packet

Save time at your first appointment – print your new patient paperwork, fill it out, and bring it with you to our office. Don’t forget to bring your photo ID and insurance card, too.

Telemedicine Waiver

If you are requesting telemedicine services, please fill out this telemedicine waiver and Opioid Agreement and return them to our office.

Treatment Agreement Form

We require all patients to sign this form, regardless of whether they are using medications to manage pain symptoms. Please complete and sign this form and bring it with you to your first appointment. 

Medical Records Release Form

If you need a healthcare provider to share your records with us, please complete and sign this form and give it to your doctor.

Pay Your Bill Online

If you need to pay your bill from Integrated Pain Solutions or Gemini Surgery Center, you can do so via our patient portal

Frequently Asked Questions

Do you have questions about insurance, our practice, or the services we offer? Take a look at our FAQ page – you may find the answers you need.