1. Questionnaire: This form has critical initial health information needed for us to take good care of you. 2. Pre-authorization request: This form is to ensure coverage of your visit by your insurance company. Complete the insurance section within. 3. Medical Release Form: This form authorizes us to request release of medical information from other health care providers and the results of diagnostic testing. 4. HIPAA form: This form ensures compliance with patient privacy.
For more information or to schedule a consultation, please contact us today.
Call 702.739.8323 or click on the "Book an Appointment" tab at the top of the page. Hablamos Espanol
ADVANCED PAIN MANAGEMENT CENTER - SATISH SHARMA, MD
Below are six different forms we will ask you to complete (to the extent possible) prior to your visit.
Click on the form title to download a copy.
Call us at (702) 739-8323 if you have questions.
9029 S Pecos Ste 2800
Henderson, NV 89074
630 S Rancho Ste H
Las Vegas, NV 89106
Same Day Appointments