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

Upload Your Documents

Online Forms:

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

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

To help us best serve you at your appointment, please bring the following:

• Photo ID

• Current insurance card
• A complete New Patient Packet
• A list of current medications, including any vitamins and/or supplements
• A list of allergies
• If you are taking any pain medicine, bring the bottle of medicine with you
• Any imaging films or discs
  

The following insurances are accepted by our practice:

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

Patient Resources

Appointments:

**Please note: If your insurance is not listed please call the New Patient Coordinator at (512) 326-5440 x218