Pain & Spine Care values new patients and welcomes you to our practice. To insure an efficient and pleasant visit please print and fill out the forms and bring them to your appointment.

• New Patient Form
• Authorization of payment
• Authorization of payment
• Authorization for all Medical/Hospital Records & Reports
• Patient Responsbility Agreement For- Controlled Substance Prescriptions
• Controlled Substance Agreement
• Patient Photo Identification
• Notice of Privacy Practices
• Acknowledgment of Review of Notice of Privacy Practices
  
• History and Physical
• Rate your Pain
• Pain Diagram

ACCEPTED INSURANCES           

• AETNA
  Aetna Medicare ppo
  
  
• Blue Cross
  HMO Blue
  
  
• Cigna
  
  
• Clinical Practice Organization
  Beech Street
  Christus Health
  First Health
  Galaxy/MCI
  Health Smart
  Medicus
  Multiplan
  NPN PPO
  PHCS
  Provider Select
  PpoNext/HHPO
  Texas True Choice
  
  
• Great West
  Humana
  Medicare
  National Choice Care
  Renaissance
  Texas Healthspring
  UnitedHealthcare