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Home / Patients

Everything you need
before you walk in.

Your first visit, your forms, your insurance — answered here so your appointment time goes to what matters: your pain.

Your first visit

What actually happens.

1
Before you arrive

Complete the forms below at home if you can. Bring your ID, insurance card, medication list, and any imaging (MRI/X-ray discs or reports).

2
The evaluation

Plan for about an hour. Your physician takes a full history, examines you, reviews imaging, and explains what's actually going on — in plain language.

3
Leaving with a plan

You leave with a stepwise treatment plan and, in many cases, your first procedure scheduled the same week.

Waiting room photoassets/img/waiting.jpg

This is where you'll wait — briefly.

Free on-site parking, ground-level entrance, wheelchair accessible — and a front desk that knows your name by visit two.

Patient forms

Print, sign, save time.

New patient registrationPDF · print & bring completedDownload →
Medical & surgical historyPDF · print & bring completedDownload →
Medication listPDF · print & bring completedDownload →
Privacy practices acknowledgementPDF · print & bring completedDownload →
Depression screeningPDF · print & bring completedDownload →
Sleepiness scalePDF · for sleep evaluationsDownload →
Opioid risk assessmentPDF · print & bring completedDownload →
Health questionnaire (symptom checklist)PDF · print & bring completedDownload →
Records release authorizationAvailable at the front desk — or call and we'll send itAt your visit
Pain management agreementPDF · Ohio statute 2925.22 · review before your visitDownload →
Pain questionnairePDF · helps us measure how pain limits your dayDownload →
Self-pay agreementAvailable at the front desk — or call and we'll send itAt your visit
Financial policyAvailable at the front desk — or call and we'll send itAt your visit

Completing these at home typically saves 20 minutes at your first visit. Can't print? No problem — arrive 20 minutes early and we'll have paper copies ready.

Insurance

Medicare and most major plans.

We accept Medicare and most major commercial insurance. Coverage for specific procedures varies by plan — so before your visit, we verify your coverage and tell you what to expect. No billing surprises.

Call to verify your coverage
Financial policy & self-pay

Self-pay options are available for patients without coverage, with clear pricing discussed before any procedure. Our full financial policy is available in the forms above — and our front desk will walk you through it in plain English.

The front desk

Real people, not a phone tree.

Every call and every check-in goes through a team that knows your name, your history, and your insurance — not a script.

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Questions before your first visit?

Call us — a human answers, and same-week appointments are the norm, not the exception.

Call (513) 860-0371Mention our website for priority scheduling
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