New Patient Registration

Thank you for choosing Commonwealth Pain & Spine, where we are dedicated to

A Physician referral or self-referral is required before we can schedule your first appointment.

A complete referral consists of the following:

• Demographics (ie: Name, Address, SSN, etc.)
• Insurance Card (s)
• Recent office/progress notes on pain history
• Applicable imaging

Please fax referral to 866 My Pain 4 (866-697-2464)

To contact New Patient Scheduling Directly CALL: 502-890-5639 or EMAIL: newpatients@mypainsolution.com

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