Expert Pain Relief treatments Fort Myers FL
Pain Relief Treatments and Wellness Solutions in Fort Myers, FL
6371 Presidential Court, Suite 4
Fort Myers, FL 33919
Call (239) 437-4000
Click Here to email us >>

Make your first pain relief visit a breeze!

We want you to spend more time healing and feeling better, instead of filling out paperwork in our office.

Your pain relief and improved health are our priority - We make your visit as easy as possible!
**We're here to help.  If you're not able to complete paperwork ahead of time, arrive 10 minutes before your scheduled appointment and simply ask us for help when you arrive.

It's easy to be prepared for your first appointment

  • If you are not able to complete the forms above ahead of time,
    please arrive 15 minutes early
  • Bring valid form of ID
  • If under the age of 18, bring parent or guardian

 If involved in Motor Vehicle Accident please contact us for additional paperwork and instructions

We're here to help you improve your health and get out of pain. 
If you have any questions, please don't hesitate to contact us

All required forms are included in PDF below. Open, print, and arrive with completed forms to the best of your ability.

Click to view and print    Click to View/Download
  -  Application for Treatment
  -  Consent Form
  -  EHR Intake Form
  -  Privacy Form
  -  Auth for Release of Information Form
  -  Modality Contraindications Form


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