Welcome to Relieve Pain Center!

Home / Welcome to Relieve Pain Center!

We are excited that you have chosen our Interventional Pain Management team. Please read the following information to ensure you have a successful first visit.

Please arrive 30 minutes before your scheduled appointment to fill out the paperwork. We strive to see all our patients in a timely and efficient manner. Arriving late for your appointment is disruptive and inconsiderate of the other patients in the clinic. If you arrive 15 minutes after your scheduled time, we may reschedule your appointment.

PLEASE BRING THE FOLLOWING ITEMS:

  • Completed new patient packet / registration forms
  • Driver’s License / identification card
  • Primary and secondary insurance card (when applicable)
  • A complete list of your medical problems, your surgical history, and all current medications

The first visit is a CONSULTATION ONLY. No medication will be prescribed at the first visit. Please ensure the prescribing provider has given you enough medication until your next follow-up with them.

We do NOT prescribe high dose opiates. We also do NOT prescribe benzodiazepines.

We want to help manage your pain. If you are currently prescribed high dose opiates or a combination of opiates and sedatives, which can be dangerous, we can help you wean down in a safe and controlled manner. If you are unwilling to adjust your medication, then we will be unable to provide adequate care or treat you in accordance with the best medical knowledge.

This is an Interventional Pain Management clinic. Our goal is to use procedural interventions to minimize and, if possible, eliminate opiate dependence.

**** Please contact the office if you have any questions. If you fail to comply with these instructions and your visit is canceled and/or rescheduled, you may be charged $50.00. If you are unable to keep your appointment, please give us 24 hours’ notice so we may reschedule. We reserve the right to charge $50.00 for appointments canceled or broken without 24 hours’ notice in accordance with the new patient agreement that you signed. This fee must be paid before we can see you in the clinic for a visit again. If you are sick and it is less than 24 hours prior to your appointment you must provide a primary care doctor note to have the cancellation fee waived. Appointments are subject to change. ****

DOWNLOAD NEW PATIENT FORMS:

new patient form new patient form
new patient form new patient questionaire

waiting room