ARIZONA PAIN CARE CENTER
12480 N. Rancho Vistoso Blvd. Ste. 180
Oro Valley, AZ 85755

Office Phone: 520-742-4008
Billing Questions: 520-722-3777
Office Fax: 520-742-4280
ALL NEW PATIENTS 

Dear Patient/Patient Advocate,

Please note that all paperwork must be filled out and signed in its entirety to be seen for your initial appointment with either provider for any reason. You must also provide a valid ID and your insurance card. There are no exceptions to this policy. You cannot be seen if your paperwork is not completed or you do not have an ID or your insurance card.

In an effort to make your appointment go faster, please click on (see the two links below this message), print out, and fill out the New Patient PDFs below. 

The first PDF includes 10 pages: new patient letter, demographics and insurance information, patient treatment agreement, HIPPA, financial responsibility, opioid risk tool, and the SF-12 survey

The second PDF includes 6 pages: patient intake form that your doctor will use during your first visit (if you have a separate document that you keep for medications you take and surgeries and scans that you have had, you can bring that with you and we can scan it into your chart). You fill out the first 5 pages and your doctor will fill out the last (6th) page.


If you need to complete the forms in the office, please arrive 30-40 minutes earlier than your appointment time.

What will you need for your appointment?
1. An ID (you cannot be seen without an ID even if your paperwork is complete)
2. Insurance Cards (please tell our staff if you have a primary and a secondary insurance)
4. Co-pay amount is due at the time of service and may be indicated as "specialist" on your insurance card.
3. Completed New Patient Paperwork 
4. Radiology Reports (if applicable)

Thank you for taking the time to fill out the paperwork. We know that it takes some time. We look forward to working with you soon.

Sincerely,
The Arizona Pain Care Center Staff