Thank you for choosing Northern California Pain Specialist in San Jose, California for your upcoming appointment. Please arrive 15 minutes early to allow time to register as a new patient.
You will receive the most out of your first appointment by preparing ahead of time. In preparation, please make sure to complete the attached documentation:
- Patient Registration – Please complete entire form (you can refrain from completing the insurance portion by bringing your insurance card to your first appointment).
- Patient Intake – Detailed questions of medical conditions, medications, and family history.
- Medical Records Release (optional) – If you would like us to obtain copies of your medical records from another office, please complete the records release in full.
Remember to bring the following to your first appointment:
- Driver’s license or picture ID
- Completed paperwork
- Insurance card
Please make sure to check with your insurance company BEFORE your appointment to be informed of your coverage (co-pays, deductibles, coverage etc.). Every insurance plan is different and while we may contract with your overall insurance provider, your individual plan coverage will vary based on your policy.
If you have any questions prior to your appointment or require clarification about the date and time of your appointment, please reach out to our office via phone (408) 295-8628. We are honored to have you as a new patient and appreciate your support of our independently owned medical practice.
Northern California Pain Specialists
O'Connor Medical Office Building
2101 Forest Avenue
San Jose, CA 95128
Contact us to book an appointment:
Phone: (408) 295-8628
Fax: (408) 295-8061