Patient Info
Below you will find our insurance list for the office treatment along with our downloadable patient forms. These will download as an Adobe Acrobat PDF. Or you may visit our Patient Portal to register!
PMC Notice of Privacy Practices
PMC Work Comp form PDF EDITABLE
PMC New Patient Packet PDF Editable 2016
PMC Established Patient Intake Forms
Pain Treatment (Supplement) Patient Intake Form
Enrollment Form
Welcome Letter
Consent to Disclose Health Information
Consent for Treatment
Controlled Substance Prescription Agreement
Imaging Healthcare Specialists MRI CT Order Form
New Patient Intake Registration Form
Urgent Care Consent Form
Patient Registration Forms
- UHC
- Molina Medicare
- Tricare
- Tricare for Life
- Medicare
- Aetna
- Cigna
- Fresenius
- Multiplan
- Prime Health Services