Patient Information

For proper pre-procedure preparation and post procedure recovery, please review the following information and complete the forms below.

Preparing For Your Visit

To prepare for your visit, we ask that you fill out the attached Pain History Questionnaire and the Insurance Registration Forms. You can either 1) Fill out and submit forms online or 2) Download the PDF, fill out, print, and bring it with you to your first visit.

ONLINE: Fill out online form and submit.

  • First Visit: Pain History Questionnaire Online
  • First Visit: Insurance Registration Online


DOWNLOAD: Download the two PDF forms, fill out, print and bring to your visit.

Pre-Procedure Instructions

The success of your procedure depends on the collaborative effort between you and our staff. Please read the following pre-procedure instructions by clicking on the link below

Post-Procedure Instructions

You will have to restrict your activity following the procedure Please review the following post-procedure instructions to minimize the risk of complications and give you the most benefit from the procedure.

Insurance and Billing

It is our goal to provide quality health care in an efficient and cost-effective manner. For information on insurance and billing services offered by the Pain Management Specialists.



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504 West Pueblo Street, Santa Barbara, CA 93105