Patient Information

Before Your First Visit

We are glad you've considered LifeLinc for your pain management needs. If you are coming to us from a referral, we ask that you have your primary healthcare provider fill out and send in a referral form prior to setting up an appointment. For a copy of that form, please visit our Referral section. 

If you currently have an appointment with us, we ask that you provide us with the following at your first visit:

  • Completed Patient Information Forms
  • Copy of Your Insurance Card
  • Most Recent Imaging Reports (If available)
  • List of Current Medications

Giving Us a Head Start

In order for us to serve you at our fullest capacity, our staff will be gathering the necessary information needed to complete your patient records. In preparation for your first visit, please download the PDF forms we provide below and fill them out prior to arriving. You can turn them in when you first check in with the front desk. Also, please review the Notice of Privacy Practice before arriving. 

Of course, any and all information you provide us remains strictly confidential.

Download Patient Information Forms

Notice of Privacy Practice

Authorization to Disclose (Release) and Use Protected Health Information