Policies & Forms
We appreciate your business and the privilege to care for your health needs. The Center for Pain Management provides the following information to make your experience with us a simple as possible.
If you can’t find the information you’re looking for, please contact us at
317-706-7426.
New Patients: Interested in being seen at the Center for Pain Management? Or has your physician referred you to our practice?
Get started here.
Referring Physicians
Center for Pain Management Patient Referral Form
Physical Therapy Patient Referral Form
MRI Procedure Referral Form
Current Patients
Billing/Hardship: We recognize that medical care is expensive and unexpected circumstances arise, so we offer a variety of payment plans. Patients are expected to pay any outstanding balances to the practice in a timely fashion.
Cancellations: All appointments require a 24-hour cancellation notice to avoid a “no show” fee.
Disability Form Letters: We require 10 working days to complete a form or letter upon patient request.
Medications