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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CP&S NEW PATIENT LETTER

CP&S PATIENT BILL OF RIGHTS AND NPP

CP&S PATIENT MEDICAL EVALUATION

CP&S PATIENT REGISTRATION PACKET