New Patients

Welcome to Pain Specialties

We are pleased to have you as our patient. Our practice is committed to providing the best treatment for our patients. Attached you will find a New Patient questionnaire which you need to fill out entirely.

Do not leave any blank spaces, please write N/A where appropriate. Once completed, please send it to our offices via email, Fax or by mail.

IT MUST BE RECEIVED PRIOR TO YOUR APPOINTMENT, in order for the information to be entered into the NEW Electronic Medical Record System, which is required at the time of your appointment.

Participating Health Insurance


  • Aetna
  • Assurant
  • AvMed
  • Beechstreet
  • Blue Cross Blue Shield
  • Champva
  • Cigna
  • First Health
  • Healthnet
  • Humana



  • Medicare Part B
  • Multiplan
  • PHCS
  • Secure Horizons
  • Tricare
  • UMR
  • United Health Care

Workers Compensation

Now Accepting All Auto Insurance