Patients
Patient resources
Forms, portal access, billing information and a step-by-step walkthrough of what actually happens at a first pain management appointment.
Forms, portal and policies
Our staff can mail or email anything below, or provide it at the front desk. Call 540-444-5670 and tell us what you need.
New Patient Packet
Complete your history, medication list and consent forms before you arrive to shorten check-in.
Open the packet (PDF)
Patient Forms
Individual forms — records release, treatment agreement, financial policy and demographic updates.
Open patient forms (PDF)
Referral Form
For referring offices: fax clinical notes and imaging reports with the completed referral to our fax line.
Open referral form (PDF)
Patient Portal
Message the clinical team securely, view visit summaries and request refills during office hours.
Sign in to the portal
Notice of Privacy Practices
How your health information may be used and disclosed, and how you can get access to it.
Open the notice (PDF)
Insurance & Billing
Most major commercial plans, Medicare and several Medicaid managed care plans. Benefits are verified before procedures.
Call billing at 540-444-5670
Medication Safety
Storage, disposal, refill timing and Virginia's monitoring requirements for controlled substances.
Discuss at your visit
Medical Records
Written requests with a signed authorization are typically fulfilled within five business days.
Call 540-444-5670 to request records
What to expect at your first visit
A first appointment here is an evaluation, not a procedure. Plan on about an hour. Here is the whole sequence, so nothing about the day is a surprise.
Before you arrive
Complete the new patient packet and gather your imaging reports, medication list and insurance cards. If your plan requires a referral or authorization, our staff will have confirmed it when your appointment was booked.
Check-in — about 15 minutes
Front desk staff verify your information and coverage. Arriving 15 minutes early keeps the schedule on time for everyone; completed paperwork usually cuts that in half.
The history — the longest part
We ask where the pain is, what it feels like, what makes it better or worse, what you have already tried, and what you can no longer do that you want to do again. This conversation carries more diagnostic weight than the imaging.
The examination
A focused physical examination tests specific structures — facet loading, nerve tension, joint provocation, strength and sensation — to narrow the list of possible pain generators.
Independent imaging review
Your physician reviews the actual images, not only the radiology report. Findings that appear abnormal are matched against your symptom pattern before they are called the cause.
The plan — in plain language
You leave knowing the working diagnosis, what we recommend next and why, what it should accomplish, and what happens if it does not work. Most first visits do not include an injection.
What to bring
- Photo identification and all current insurance cards.
- A complete list of medications with doses, including over-the-counter products and supplements.
- Imaging reports or discs — MRI, CT, X-ray — from the past two years.
- Names and contact information for your primary care physician and any referring specialist.
- Your referral or authorization, if your plan requires one.
Preparing for a procedure
- Tell us in advance about blood thinners — some must be held for several days, and only your prescribing physician should authorize that.
- If you will receive sedation, do not eat for six hours beforehand and bring a licensed driver.
- Wear loose, two-piece clothing that is easy to change out of.
- Tell us if you are diabetic; steroid medication can raise blood sugar for a few days.
- Tell us if you are or may be pregnant, since most procedures use fluoroscopic guidance.
Insurance, billing and records
Our billing staff verifies benefits before scheduling procedures and will tell you what your plan requires, including prior authorization. If you have a question about a statement, call 540-444-5670 and ask for billing.
Medical records requests must be made in writing with a signed authorization. Our staff will provide the form and explain where to send it — or fax it to 540-444-5669. Records are typically released within five business days.
Prescription refills are handled during office hours. Requests for controlled substances require an active treatment agreement and cannot be filled after hours or on weekends.
Ready to get a real diagnosis?
Most patients are seen within two weeks. Call our office or send a request and our staff will help you choose the most convenient location.