For Patients

Complete New Patient Packet – NEW!

Patient Forms

• Patient Demographic Information
• Follow-Up Visit
• Patient Complaint
• Request for Medical Records to be Sent to Spine & Pain Associates
• Request for Practice to Release Medical Records

Policies

• After Hours Policy
• Financial Policies
• Additional Patient Information
• Non-Discrimination Policy
• Notice of Privacy Practices
• Receipt of HIPPA Privacy Practices

Insurance

Spine & Pain Associates, PLLC accepts most major private insurance plans as well as Medicare, Medicaid and TriCare. Our participation as an in-network provider may change over time. Below are the current payers that we are contracted with.

If we can verify your eligibility for insurance and we are an in-network provider, we will be happy to submit a claim on your behalf. If we cannot verify your eligibility for insurance, if we are a non-network provider with your plan or if you do not have health insurance coverage, we will be happy to provide care for you as a self-pay patient. You are responsible for all charges at the time of service.

We offer discounted fees for medical services that we provide to self-pay patients. Please contact us for additional information.