Fellowship Trained & Board Certified in Pain Medicine

Hours : Mon to Fri - 7:30am to 4:30pm
  Contact : 205-208-9001
 Schedule Appointment Patient Portal

Forms

Patient Forms

 

Please see below for Release of Records forms, Insurance forms, and your Clinical forms.  Filling these out before the day of your visit will save valuable time at the office, hopefully resulting in a timelier visit with your provider.

Patient Forms 2018

Please see the Authorization to Disclose Health Information form to enable your other doctor’s office to send your records to Cahaba Pain and Spine Care. Your outside records, especially of your care at other pain clinics, may need to be reviewed before we can prescribe certain pain medications for you. Not every patient is prescribed pain medication at their first visit.

Authorization to Disclose Health Information – Other Doctors Send Your Records to Cahaba Pain and Spine Care