9834 Genesee Ave Suite 411 La Jolla CA 92037 15611 Pomerado Road Suite 525 Poway, CA 92064 Phone: (858) 453-7700 Fax: (858) 947-3828 CONTACT US
In order to improve patient care and efficiency we have made some of our forms available for you to download. New patients please click here, please download and complete the following patient forms. New Patient Forms Save time !!! Fill out your forms online!! Your confidential answers are sent to your provider for review prior to your appointment. • Online Demographics form • Demographics (PDF) • Online Evaluation form • Initial Evaluation (PDF, 122Kb) Other Patient Forms • Authorization for Communication (PDF, 128Kb) • Records Transfer Request (PDF, 18Kb) • 24 hour pain log (PDF, 54Kb) • No-show policy (PDF, 60Kb) FAQ • Spinal Cord Stimulator Frequently Asked Questions (PDF, 89Kb) • Helpful Hints to Avoid Constipation (PDF, 12Kb) Additional Information Spinal Cord Stimulation: • Boston Scientific • Advanced Neuromodulation Systems Intrathecal Pump Therapy: • Medtronic Useful Links • National Pain Foundation • American Academy of Pain Medicine • Pain.com • RedToeNail.org