Forms:

• C2 Medication Education
• Electromyography
• Employment FMLA
• ​Physical Withdrawal Symptoms
• Refill Request
• Referral Sheet
• Medical Information Release TO Pain Care Physicians
• Medical Information Release FROM Pain Care Physicians
• Telephone and HIPAA Form
  
• Special Request
• Tens Unit Information
• Third Party Request
• Treatment Options
• Pain Care Physicians Privacy Policy
• Pain Care Physicians Financial Policy

Online Forms:

Patient Resources

**Please note: If your insurance is not listed please call the New Patient Coordinator at (512) 326-5440 or Text (512) 256 9468

Upload Your Documents

To help us best serve you at your appointment, please complete the information in our new patient packet before you arrive.  If that is not possible, please notify us so that we may change your arrival time.   Also please bring to your appointment:

• Photo ID

• Current insurance card
• Any medical records in your possession which you have not already uploaded
• A photo or receipt from your most recent controlled substances medication refill (bottle or paper) from the pharmacy.

The following insurances are accepted by our practice:

• Aetna
• Blue Cross Blue Shield
• Cigna
• Great West/Cigna
• Humana
• Medicare
• PHCS
• Physician's Health Choice

Please call (512) 326-5440 x218 to schedule a New Patient appointment.

• Seton Health Plan
• Texas Municipal League
• Texas True Choice
• Texas Workers' Compensation
• Tricare
• Unicare
• United Healthcare

Appointments:

512-326-5440