Please complete the HIPAA Form, Demographic, and Statement of Financial Responsibility prior to your visit.
Spine and Pain Management Patients please also complete the Pain Questionnaire prior to your visit.
You may fill it in online then print your completed forms or print and complete them by hand and bring them along with you to your appointment.
- HIPAA Form
- Pain Questionnaire (for Spine and Pain Management Patients)
- Demographics
- Statement of Financial Responsibility
Medical Records Release forms:
An authorization form is required when requesting copies of medical records. Please complete the medical records release form below and return it to SportsMED, or email the completed form to [email protected].