Clinic

Preparing for a Clinic Visit

If you are a new patient, to best utilize time, you are encouraged to bring the enclosed forms completed with you to your appointment.

Forms

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit.

Click the links below to open and/or print each document:

  1. New Patient Intake Form
  2. Financial Policy
  3. Release of Records Authorization
Appointment

Appointment Conditions

What to bring with you to your Appointment.
Picture ID
All Insurance Information
Required Referral Information or Letters as necessary
Any required Deductible / Co-Payments
Items to note before your Appointment
Having the appropriate forms filled out before your visit will reduce your total visit time.
Please allow for time to park; parking availability varies with each clinic location.
Clinic registration is done by appointment time. To decrease your overall waiting time, we recommend that you do not arrive more than 20 minutes prior to your appointment.
Policy

Cancellation Policy

If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours’ notice. This courtesy, on your part, will make it possible to give your appointment to another patient. There may be a $100 cancellation fee for patients who miss appointment or do not provide 24-hour notice.

Policy

Insurance

At Texas Interventional Pain Specialists, our roster of insurance plans and options is comprehensive. We accept Medicare, Worker’s Compensation, most HMOs, most PPOs, and many Liens. Every patient, regardless of their insurance type, receives the same efficient, effective and friendly service and medical care.