Patient Care

Once you have made your initial appointment, you may print our patient forms and fill them out before your visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Please be sure to bring your completed forms to your first appointment, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Choose your preferred location below to download your new patient packet and additional forms:

NEW PATIENT FORMS

• New Mexico Pain Clinic - Albuquerque
• Tri-Cities Pain Clinic – Southridge
• Spokane Pain Clinic – Spokane Valley

If you are looking for a Medical Release forms please find them below.

MEDICAL RELEASE FORMS

• Medical Records Release Form
• Primary Care Medical Records Release Forms

• AARP
• Adventist Health
• Aetna
• Asuris NW Health
• Blue Cross/Blue Shield Blue Card
• Cigna
• Desert Mutual
• Employee Benefit Management Services "EBMS"
• Federal Blue Cross/Regence
• First Choice Health Network
• GEHA
• Healthcare Management Administrators "HMA"
• Healthcomp
• Healthnet
• Indian Health Colville
• Individual Assurance Company
• Inland Empire Electrical Workers "Laborer"
• Kaiser Permanente "formerly Group Health"
• Life Wise of Washington
• Mail Handlers
• Multi Plan
• Mutual of Omaha
• Northwest Administrators
• NW Laborers Health & Trust
• Pacific Source
• Premera Blue Cross
• Providence Health Plan
• Regence Blue Shield of Washington
• Regence Group Administrators
• State Farm
• Tricare for Life
• Triwest - Healthnet
• Vets Administration
• WPS VACAA - Choice
• Trustee Plans Service Corp
• UMR Risk Management
• United Foods & Commercial Workers "UFCW"
• Uinited Healthcare "UHC"
• USAA Insurance
• Washington State Health Insurance Pool
• YellowHawk Tribal Health Center
• Zenith Adminstrators

• Medicare of Washington
• Community Health Plan Medicare Advantage
• Family Care Medicare Advantage
• Human Medicare Advantage "only accepting in Spokane County"
• Mutual of Omaha
• Premera Medicare Advantage
• Railroad Medicare
• Regence Medicare Advantage
• United Healthcare Medicare Advantage "UHC"

• Washington State HSHS
• Amerigroup
• Amebetter
• Community Health Plan of Washington "CHPW"
• Coordinated Care
• Molina Healthcare
• United Healthcare Care Community Health

• Washington State Labor & Industry
• Eberle Vivian
• ESIS Self Insured
• Majoris Health
• Montana State Fund
• OWCP-FECA
• Penser North America Inc.
• SAIF Corp
• Sedgwick CMS

• Blue Cross of Oregon
• Life Wise of Oregon
• MODA "Not contracted"