Appointment Request

You can schedule an appointment by calling us at 952-841-2345 or completing the secure form below.

It is our privilege to be your partner in pain management.

Name*
First Last
Email*
Phone*
Date of Birth*
I am a:*
- New Patient
- Current Patient
Address*
Address City State ZIP Code
Clinic Location*
Hidden
Insurance Carrier
Insurance Carrier*
Insurance ID #
Name of Primary Care Physician
I am interested in getting a ride to my appointment
- Yes
What are you seeking treatment for?
1. MEDICAL ASSISTANCE/MEDICAID: If you have Medical Assistance/Medicaid insurance, you will need to obtain a referral from your primary care provider before being seen at Twin Cities Pain Clinic
Comments
This field is for validation purposes and should be left unchanged.

"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