Pain Management:

Ortho/Podiatry/Physiatry:

  • Pain Management Agreement (English and Spanish)
  • Acknowledgement of Notice of Privacy Practices (English and Spanish)
  • Notice to Medicare Patients (English and Spanish)
  • Patient Registration (English and Spanish)
  • Medical History Questionnaire (English and Spanish)
  • Acknowledgement of Notice of Privacy Practices (English and Spanish)
  • Notice to Medicare Patients (English and Spanish)
  • Patient Registration (English and Spanish)