Documents & Forms

Our patient forms are available to download and print before your

first appointment, or submit online at your convenience. 

Pre-Appointment Information

The following are tips to help you prepare for your initial visit,

as well as our patients' most frequently asked questions. 

Patient Resources

We've compiled some resources to help walk you through your restorative journey. If you have any questions about any of the resources you see here, feel free to contact us.  

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Pre-Consultation Checklist

When you come to your first appointment it is important to bring all of the following information:

  • Medical records from other specialists (orthopedic, neurosurgeons, neurologists, pain specialists)

  • MRI or CT scan reports of your painful area
    (Cervical or Lumbar typically)

  • Prescription bottles for pain medications
    you are currently taking

  • Insurance card

  • Workers Compensation or No Fault Claim Number or telephone number of your attorney

  • Valid photo ID (license or passport)

  • Insurance co-pay
     

Your time is important to us. We do our best to keep on schedule to avoid long waits. We greatly appreciate you arriving on time and bringing all of the requested information listed above.

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REGISTRATION FORM

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MEDICAL HISTORY FORM

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PRE-PROCEDURE INFO

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POST-PROCEDURE INFO

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POST-PROCEDURE FORM

DOWNLOAD →

Frequently Asked Questions

How can I schedule an appointment?

E-mail us, call us, or use the online form to schedule an appointment. Typically we will be able to accommodate you within 1-2 business days. Unfortunately, we do not accept walk in appointments.
 

How can I pay for my visit?

We take most insurances including all private insurances (in and out of network), medicare, workers compensation, no fault accidents, and some medicaid plans. You will only be responsible for your copay at the time of your visit. We do not accept cash payments for patients looking to obtain pain medication prescriptions. We will accept private patients needing to pay for certain procedures.

What information should I bring to my initial visit?

See 'Pre-Appointment Checklist' above. 

How to prepare for before and after my procedure?

If you are having a procedure please read these forms about how to prepare and what to expect after a procedure.

How can I get a refill of my medication?

Please discuss your medication needs, including refill requests, with our physicians at the time of your appointment. You will typically need to make an appointment and be seen at the office each month for a refill. Please do not request early refills of your medications as they will not be covered by insurance anyway. Patients are responsible for lost or stolen medications and prescriptions once they leave the office. Do not call the office for a medication refill as we are unable to refill controlled substances over the phone.

What if I have an emergency and the office is closed?

You will need to proceed to the nearest hospital emergency room for after-hours emergencies.

Where should I park?

Visit the Icons Parking Website by clicking here to see where you can find parking in the area.

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Book a Consultation

Speak with a Patient Care Consultant online, by phone, or in person at one of our convenient locations, and learn about how you can start your restorative health journey today.