- HPS Full Packet
- HPS New Patient Intake
- Urine Toxicology Testing Protocol
- SOAPP-R Questionnaire
- Patient Disclosure Form
- Medication History Consent
- Medication:Opiod Contract
- Photo&Video Consent for Medical Use
- HIPAA Disclosure: Patient Contact & Verbal Release of Info Consents
- Code of Conduct
- Authorized Release of Protected Health Information
- New Patient Pain Assessment Form
- Financial Policy
- Assignment of Benefits
- Notice of Privacy Practices
Patient Forms
What we offer
Conditions & Treatments
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Spinal Cord Stimulationmore info -
Epiduralmore info
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Back Painmore info
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Neck Painmore info
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Spinal Stenosismore info
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Fibromyalgiamore info
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Osteoarthritismore info
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Headachesmore info
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Rheumatoid Arthritismore info
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CRPSmore info
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Post Laminectomy Syndromemore info
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RSDmore info
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Peripheral Nerve Stimulationmore info
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Sacroiliac Joint Fusionmore info
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Auto Accidentmore info
Location
5420 Dashwood Dr., Suite 103
Houston, TX 77081
Phone: 713-664-2662
Fax: 713-987-7691
Office Hours