Patient Information

Accepting New Patients

Integrative Pain & Wellness is accepting new patients. To become a patient you will need a referral. Please have your provider the referral form and fax it to us.

Patient Referral Form

For Our New Patients

We appreciate your physician referring you to Integrative Pain and Wellness for your pain care. To begin your treatment, you will need the following:

1. A written referral from your Primary Care Physician to Integrative Pain and Wellness for the purpose of Chronic Pain Management.

2. The names, addresses, and telephone numbers of your Primary Care Physician and any pain-related specialists that have treated you in the past as well as your last office notes. We will also need the location of any previous diagnostic studies, such as MRI, CT, or X-ray reports.

3. A valid driver’s license.

4. Insurance card

5. Co-pay or Private pay amount.

New Patient Forms

Plan to arrive 15-20 minutes prior to your appointment to complete your new patient paperwork.

T: 256-803-8800
F: 256-803-8801

11744 US HWY 431
Boaz, AL 35956