Pain Therapeutics - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes. Pain Therapeutics - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes. Pain Therapeutics - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes. Pain Therapeutics - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes.
Man and Woman - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes. Pain Therapeutics - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes. Physician - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes.
Table - Contact our pain physician in Houston, Texas, for treatment of acute and chronic back, neck, cancer, RSD, and other pain syndromes.
 

Below are several information forms that can be downloaded, filled out, and either faxed to our office or brought with you to your appointment.

Patient Demographics Form
Fill Out Your History and Physical
Privacy/HIPAA Acknowledgment
Insurance Contract Agreement
Acknowledgment of Privacy Notice
Release of Medical Records Consent

To view any PDF document, you need to have Adobe® Acrobat Reader® on your computer. If you do not have this program, you may download it for FREE by clcking on the icon below.

Adobe