New Patient Registration

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

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)

You may also Click Here to fill out our Appointment Request Form

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

New Patients: Please remember to bring a valid form of photo ID to your first appointment. Below are acceptable forms. It must NOT be expired.

• State DMV issued Driver’s License
• Kentucky ‘REAL ID’ issued by the state DMV
• CDL License issued by the state DMV
• Kentucky Identification Card issued by the state
• U.S. Passport book or passport card issued by the Department of State
• US. Department of Defense ID
• US. Citizenship and Immigration Services Employment Authorization Card
• Veteran Health Identification card

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