Now booking next-week appointments
New patients

Getting started is simple.

No matter what has brought you to North American Spine & Pain, we aim to have you leave the same way — healed. Before your first visit, you'll complete a short intake so your care team knows your history and can make the most of your appointment.

Before your visit

A few minutes online Complete your new-patient intake before you arrive.
Your information is protected Your intake is handled securely and shared only with your care team.
We're here to help Questions about the forms? Our coordinators are a call away.
The intake process

What to have ready.

Filling out your intake ahead of time means more of your appointment is spent on you, not paperwork.

What you'll provide

A picture of your health

The intake covers your basic information, your medical history, and details about the pain that brought you in. Having a few things on hand makes it quick and accurate.

  • Your insurance information
  • A list of current medications
  • Any prior imaging or records, such as X-rays or MRIs
  • A brief description of your pain — when it started and how it feels
Forms available

Standard & workers' comp intake

We offer a standard new-patient intake as well as a workers' compensation and PIP intake, in both English and Spanish. Choose the one that fits your situation, or ask our office if you're unsure.

Paper forms

Download a packet.

Prefer to fill things in by hand, or need the Spanish version? Choose the packet that fits your situation.

These packets are for printing — they cannot be filled in on screen. Print the one that fits your situation, complete it by hand, and bring it with you. If you would rather not print anything, use the online intake above instead.

How it works

From form to first visit.

Step 1

Complete your intake

Fill out your new-patient intake online before your appointment — it only takes a few minutes.

Step 2

We review it

Your care team reviews your information ahead of time so they're ready for your visit.

Step 3

Come in

Arrive for your appointment with less paperwork to do, so we can focus on your pain.

Step 4

Build your plan

After your exam, your physician develops a personalized plan to relieve your pain.

Ready to begin?

Start your new-patient intake.

Complete your intake online to save time at your first visit. Prefer to do it by phone, or have questions? Our coordinators are happy to help.

Or speak with a coordinator
(855) 862-7767

Schedule a consultation

What you share here — your contact details and anything you tell us about your symptoms — is handled as protected health information. How we use and protect it.