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.
Please complete your new patient paperwork prior to your first appointment, as we need this information to gain an understanding of your condition and develop an individualized plan of care for you. We offer several options for completing this paperwork:
Please remember to bring your photo ID and insurance card to your appointment. We look forward to meeting you.
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.
If you need a healthcare provider to share your records with us, please complete and sign this form and give it to your doctor.
If you need to pay your bill from Integrated Pain Solutions or Gemini Surgery Center, you can do so via our patient portal.
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.