MPMC provides world class patient care.Patient Forms

MPMC specializes in injuries and disease of the back such as work related injuries, persistent back pain before and after surgery, degenerative disc disease, spinal arthritis, disease of the facet joints, injury to muscles or ligaments or pinched nerves in the neck and back.  We treat Complex Regional Pain Syndrome (RSD), Peripheral Neuropathy and pain associated with vascular conditions. 

Patient Forms.  The forms below are those patients must read, complete and bring with them to the initial consultation.  The documents which are in MS Word format may be completed online and emailed as attachments to info@pain-mpmc.com.

MS Word Files. When accessing these documents, If you are asked "Do you want to open or save
this file" select "Open".
 

Orange triangular bullet New Patient Letter Dowmaload Acrobat Reader (prints on 1 page)
Orange triangular bullet Patient Responsibilities Dowmaload Acrobat Reader (prints on 1 page)
Orange triangular bullet Statement of Patient Rights Dowmaload Acrobat Reader (prints on 1 page)
Orange triangular bullet Patient Information Form
  MS Word (prints on 2 pages)
About Chronic Pain Dowmaload Acrobat Reader (prints on 1 page)
Health History and Pain Questionnaire MS Word (prints on 15 pages)
Arbitration Letter Dowmaload Acrobat Reader (prints on 1 page)
Informed Consent for Post-Exposure Laboratory Tests MS Word (prints on 1 page)
Notice of Financial Interest Disclosure MS Word (prints on 1 page)
Notice of Privacy Practices Dowmaload Acrobat Reader (prints on 1 page)

The following documents are additional patient related forms:

Patient Referrals.  MPMC accepts referrals from physicians, attorneys and insurance companies. 
Click here for more information, including procedures and forms.

Pain Questions and Answers.  Click here to read our pain questions and answers.

Call 916.568.8338 or use our online information request form for more information about Metropolitan Pain Management Consultants (MPMC).

Our hours are:
Monday through Friday - 8:00am to 4:30pm

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Metropolitan Pain Management Consultants
2288 Auburn Blvd. Suite 106
Sacramento, CA 95821

Phone:
916.568.8338
Fax:
916.925.3985
Email:
info@pain-mpmc.com
Metropolitan Pain Management Consultants, Inc. - 916.568.8338

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