Patient INFORMATION



Appointments

Circling a date on a calendar

We make it easy for appointment scheduling with our pain providers. The referring physicians are the ones that can make the appointments by calling our office at 252-847-0601. A member of our team will then call you to schedule an appointment.

 

Patient Forms

A nurse points out where to fill out a form to a patient

In an effort to make your visit the most efficient as possible for both you and our staff, we have listed links to our two office forms below. Please click on the link, download the form, print, fill out, and bring with you to your next appointment. Filling out these forms before you come in for your first visit will assist us in expediting your appointment.

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Insurance Information

A stethoscope and a doctors notebook

We accept Blue Cross Blue Shield®, Cigna®, and most other major insurance providers. Should you desire to know if your insurance will be accepted prior to your visit, a quick call to our office at 252-847-0601 will provide the answer. Your insurance co-pay is due at check-in, and a member of our staff will file your insurance claim.

 
 

Preparation

A woman discusses her appointmnt with a clerk

For your first office visit, we request that you arrive 15 minutes prior to your appointment to allow extra time to provide information on your medical history.

Please make certain to bring the following with you.

  • Any medical documentation done by another doctor about your area of pain.
  • A picture I.D.
  • Any medications you are currently taking.
  • Proof of insurance.
  • The new patient form filled out.
 
 

What to Expect

Click to read what to expect with procedures.

 
 

Workers Comp

A work injury claim form

Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured while in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for negligence.
We treat Workers Comp claims, but information must be provided at time of patient check-in. Please bring substantive paper work from your employer, detailing your company’s Workers’ Comp information.

 
 

Americans with Disabilities Act Disclaimers & Foreign Language Assistance

  • ATTENTION: If you speak any language other than English, language assistance services, free of charge, are available to you. Call 252-561-8218.
  • ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 252-561-8218.
  • 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 252-561-8218.
  • CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 252-561-8218.
  • 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 252-561-8218 번으로 전화해 주십시오.
  • ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 252-561-8218.
  • 252-561-8218 - ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمج
  • LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 252-561-8218.
  • ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 252-561-8218.
  • PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 252-561-8218.
  • સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 252-561-8218.
  • ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ 252-561-8218.
  • ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 252-561-8218
  • ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 252-561-8218 पर कॉल करें।
  • ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 252-561-8218.
  • 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます 252-561-8218
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  •   Notice of Nondiscrimination & Accessibility Statement
  •   Low-Level Vision Notice of Nondiscrimination & Accessibility Statement