Preparing for Your Visit
To prepare for your visit, we ask that you fill out the two forms below, the Pain History Questionnaire and the Insurance Registration Forms prior to your first visit.
Insurance Registration Form
There are two options to fill out form:
1) First option is to download and print Insurance Information Form PDF and bring to your first visit. click this box to download.
2) Second Option is to fill our form below and submit.
Our friendly staff is here to support you.
Let us know if you have any questions. Call us
Jeoffrey P. Benson M.D., PhD.
The director of the Pain Management Specialists is Dr. Jeoffrey Benson. Dr. Benson has practiced interventional pain management in association with the Anesthesia Medical Group of Santa Barbara since 1991. In 2003, he opened his private practice in pain management. He is board certified in Anesthesiology and Pain Management Specialties. He sees consults and performs procedures in his office and in addition performs procedures at Santa Barbara Cottage Hospital, Goleta Valley Cottage Hospital, Premier Surgery Center, Summit Surgery Center, Marian Medical Center and Plaza Surgery Center in Santa
Nurse and Case Manager
Office Manager – Billing Manager
Office Coordinator – Scheduler
Nurse – Case Manager