Patient Tools - Forms & Handouts
Please print & complete prior to your visit:

Downloadable Patient Forms Packet

Notice of Privacy Practices
Handouts:
Practice Guidelines & Patient Forms
3013 Ridge Rd. Suite 101
Rockwall, TX 75032

Phone:   214.771.3535
Fax:        214.276.1708
     
C E N T R A L
P A I N  M A N A G E M E N T, P. A.
What to bring to your appointment at Central Pain Management, P.A:

*Patient registration forms
*Previous medical records
*All previous imaging studies with imaging report (X-ray, MRI, CT-scan)
*A list of all current medications, the bottles of any pain medications you may be on
*Your Insurance Card
*Your Drivers license
*Proper Co-pay amount for a specialist visit
Insurance Information:

We accept all Major Private Insurances and Medicare.
Medicare and Medicare Advantage/Replacement
plans need to have a referral from the referring
provider prior to getting established as a new patient
at Central Pain Management, PA.

For further inquiries feel free to contact us at
214-771-3535

Please Note: Central Pain Management, PA does not
provide disability evaluation or approval.