New Patient Information


New Patient Information


New Patient Forms

Pain Management of North Dallas offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • You can fill forms directly on your phone or computer
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment or you may email them to

New Patient Registration Form
Click to Download

Physician Reports

We require your most recent physician reports and ALL radiology reports (X-rays, MRIs, CTs etc) be sent to our office by your treating physician PRIOR to your appointment. If you are unable to gather those items then we will need to reschedule your appointment.

What to Bring With You to Your First Appointment

  • Completed Patient Forms
  • Photo ID
  • Current Insurance Card
  • All medication bottles you are currently taking
  • Any medical records that might be useful in your evaluation; labs, recent physical, IQ or psychological testing results, in addition for children also recent report card, behavior sheets.
  • Ensure your new patient paperwork has been completed–make sure you have read and signed all forms. (You can still complete the forms when you arrive 30 minutes prior to your appointment time)
  • Medications will NOT be prescribed on the first office visit.

New patients are required to arrive 30 minutes prior to your first scheduled appointment time to complete registration and check-in, in order to maximize your appointment time.


No Food or Drink

It is very important that you do not eat or drink anything 8 hours prior to your appointment. This includes gum, hard candy and mints. If you eat or drink within 8 hours of the procedure, we may be forced to cancel or reschedule for a later date. The only exception to not eating or drinking 8 hours prior to your procedure is if you are taking medication for seizures, high blood pressure, cardiac conditions, asthma, or acid reflux. If you are taking any f these types of medications, then take them first thing in the morning with a sip of water. All other medications can be taken after your procedure.


Arrive 1 hour prior to your procedure time. If you are late we may need to reschedule your appointment so please be on time.

What to Bring

Bring your driver’s license (or photo ID), insurance card(s), and a list of ALL medications and dosage information that you are taking.

Driving Home

Make sure you have arranged to have someone drive you home. You will be unable to drive or operate any have machinery until the day after your procedure. Your ride must be present at the time of discharge, no exceptions. Please note that you may not go home in a cab or any other community transport.

The Procedure

The procedure will begin with an IV and a short acting general anesthesia. You will only be asleep for the duration of the procedure which typically lasts between 10 to 15 minutes. Patients usually awaken after about 5-10 minutes.


No prescriptions will be written on procedure days. Prescriptions, including refills, will only be made at our office during an appointment.


  • Aetna
  • Blue Cross Blue Shield
  • United Health Care
  • Cigna
  • Superior Ambetter
  • Tricare
  • Humana
  • Traditional Medicare
  • AARP
  • Medicare replacement plans


If you have any questions, please call us at (214) 618-0853.

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