Rosen-Hoffberg Rehabilitation and Pain Management Associates, P.A.
NEW AND CURRENT PATIENTS
CONTACT AND LOCATION
HEALTH AND WELLNESS
YOUR FIRST STEP ON THE ROAD TO RECOVERY.....
NEW PATIENT INFORMATION
PAIN (and DISABILITY -
from whatever cause
should be treated from a
Mind, Body, Spirit and Soul
Do more than you are doing now - and
Enjoy the REST of your LIFE.
When you know where you are going, it is easier to get there.
are those that we construct, and reinforce, in our heads."
all Fields in the forms below
In order to complete the scheduling process, we will need the Following information:
physician, stating the reason you need to be seen.
Medical information, to include,
Xrays reports, Labs, and Consultation Notes from other specialists that you have seen
from other pain management doctors(if applicable)
of your medical recoreds; only those pertinent to your care.
PLEASE FAX THE INFORMATION TO THE NEW PATIENT COORDINATORS: TOWSON:
- (410) 363-7246)- 443-END PAIN
THE FIRST VISIT IS A CONSULTATION VISIT ONLY - (
UNLESS YOU ARE A SUBOXONE CANDIDATE WHO HAS MET CRITERIA FOR THE USE OF THIS MEDICATION
YOU SHOULD REMAIN UNDER THE CARE OF YOUR
PRESCRIBING DOCTOR UNTIL
WE HAVE MUTUALLY DECIDED TO TAKE OVER YOUR CARE. WE GENERALLY DO NOT PRESCRIBE OPIOIDS ON YOUR FIRST VISIT.
(Although we are willing to prescibe opioids, if indicated, please be advised that the use of opioids
is more effective when used as part of a multi-disciplinary approach, which we provide.)
Please plan to be in the office for approximately 2 hours for your first appointment
NEW PATIENT FORMS
New Patient Exam Form
Financial Policy Part 1
Financial Policy Part 2
Dealing With Your Insurance Company
Cancel/No Show Policy
ESTABLISHED PATIENT FORMS
DAILY PAIN LOG
Follow Up Form