These are the things that you must take care of prior
to coming in for your first visit.
Keeping up with this list will help to expedite the
visit and to get the most out of your time.
Do not assume that someone else will do this for you.
Not having received information about your case is the
single most common cause of delay in treatments.
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Complete the Questionnaire / Form,
prior to coming in to the office. Don’t forget to complete the pain drawing
diagram.
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Bring in a list
of the names, addresses, and telephone numbers of all of your Doctors. Specially any Doctors that you
have seen for your current condition.
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Bring in a list
of all of your current medications,
the doses, and how you take them. Include the prescribing Doctor, next to each
medicine.
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Bring in a list
of all of the pain medicines that
you have used in the past, for this condition. Indicate next to each, if they
have, have not helped, or if you had any problems with them.
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If you had had
any MRIs or CT scans done recently
(less than a year), to evaluate your condition, please personally pick them up
and bring them to your first visit.
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Bring in a list
of your allergies. Next to each
item, specify what happens when you take it. (Example: Aspirin - swell up and
can’t breathe).
On the
average, we will not do any type of nerve block procedure on your first visit. Your initial visit is an evaluation only.
Make sure that you are given
enough medication by your physician to last until the next time that you see
him/her, and not just until you see us.
We will not
prescribe any medications on your first visit, in fact, being seen in the clinics does not
automatically guarantee that you will be taken as a patient. We will accept
your case only if we believe that we can help you.
1)
Be on time.
Always try to be in the office, at least 30 minutes prior to your
appointment.
2)
Read all the
information provided to you.
3)
Write down
all of your questions, including
all of the points that you want to address with your physician.
4)
Carefully and
truthfully answer the pain questionnaires. Add as many details as you feel are
pertinent.
5)
Bring all of your
medications. Bring the original pharmacy bottles.
6)
Bring a list of
all of your current medications, doses, schedule, and the names of the
prescribing physicians.
7)
Make sure your
referring physician has sent all of your pertinent information to us.
8)
Bring the reports
on any MRI, CT, or Nerve Conduction Tests you have had done in the past.
9)
Bring the most
recent MRI or CT films. Your doctor will want to see them personally.
10)
Bring a list of
all of the medications that you have tried in the past. Also list any side
effects or complications that you have had to those medicines.
11)
Bring a list of
all physicians that have been involved in your care. Include their address and
telephone numbers.
12)
If your insurance
requires appointment pre-approval, make sure that you have it before coming in.
13)
Bring your insurance card to every visit. If you have more than one insurance, bring them
all.
14)
Always bring your co-pay.
15)
Bring your driver’s license.
16)
Bring the following insurance information:
i. Subscribers name and date of
birth.
ii. ID and Group number
iii. The complete insurance billing
address
iv. The insurance company’s
telephone number and contact person
v. The subscriber’s employer
vi. The patient’s relationship to
the subscriber
17) If you are a Worker’s
Compensation / Auto liability, please bring the following information:
i. Date of the accident
ii. Date that you were last able to work. (If applicable)
iii. What is the working diagnosis for the claim?
iv. Patient’s claim number
v. Name and telephone number of the claim adjuster
vi. Is the claim pending litigation? If litigation is
pending, we will need the name, address, and telephone number of your lawyer.