"Whole Body" Pathways to Health. Live without the pain!

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Patient Forms

New patients at PC Pain Centers are asked to complete several important questionnaire forms. This information is required to assure you will receive the best medical care.

When you arrive for your first appointment you will be asked to complete a general information form. This information relates to basic family and financial information. Your physician will request that you complete a medical history form and the receptionist will photocopy your insurance cards.  HIPAA privacy forms will also be completed, per new federal law.

These forms are available to fill out and print to make your intial visit check in process much faster. Download the forms below, fill out and print. They are in Adobe Acrobat format (PDF)

Download Patient Forms
Download Patient Forms


Joint Commission AccreditedTomar Pain Centers has earned The Joint Commission’s Gold Seal of Approval® for accreditation by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in health care. The accreditation award recognizes Tomar Pain Centers dedication to continuous compliance with The Joint Commission’s state-of-the-art standards.