*** Forms Needed for First Visit New Patient Forms.PDF
** Form Needed for Follow-up Visits Established Patient HPI Form.PDF
Provider Fax Referral Form New Fax Refrerral Form.PDF
Authorization Form for Release of Med Records to PSTC Med Records Release to PSTC.PDF
Authorization for PSTC to release Medical Records Authorization for PSTC to Release Med Records .PDF
Directions Locations and Directions.PDF
Procedures and Services
procedures and services.pdf
Philosophy
philosophy.pdf
Patient Info
Patient_Info.pdf
Medication Agreement
Medication_Agreement_41807.pdf
Patient Acknowledgement
Patient_Ack.pdf
Diagnostic Medial Branch Nerve Block Pain Log
Pain Log.pdf
Note: as of September 1st, 2008 all phone extensions at Pain Solutions have a "1" added to the beginning of the extension. Example: former extension "121" is now "1121". The forms below will be changed as soon as possible, but for now some of them may be incorrect . So please add a # 1 in fornt of any three digit extension number.