Form Submitted!
Thank you for completing the Twin Cities Pain Clinic New Patient Intake form. Your submission has been received.
ATTENTION: If you said YES to having received Physical Therapy, Injections, Imaging/Diagnostic Testing, or Prescription Medications for your current condition, you will need to complete a Release of Information so we may obtain those records.
- You will receive an email with more information and a link to the form momentarily.
ADDITIONAL DETAILS
If you would like a copy of your completed paperwork, please contact us and request one:
- 952-841-2345, option 3
- referrals@tcpain.com
STAY INFORMED!
Click below to subscribe to the Twin Cities Pain Clinic newsletter and stay on top of important announcements, exciting treatment innovations, exclusive education opportunities, and much more. SUBSCRIBE
Here is some helpful information to know before you go:
"I can now do activities I hadn't been able to in years. Thank you Twin Cities Pain Clinic!"
-K. Jones
"I've been nothing short of absolutely happy with my care at Twin Cities Pain Clinic."
- A. Halford
"The staff at Twin Cities Pain Clinic really listen to me and treat me as an individual."
-K. Caplinger
