Patient Forms

New patients at Tomar Pain Centers are asked to complete several important questionnaire forms. This information is required to assure you will receive the best medical care.

When you arrive for your first appointment you will be asked to complete a general information form. This information relates to basic family and financial information. Your physician will request that you complete a medical history form and the receptionist will photocopy your insurance cards.  HIPAA privacy forms will also be completed, per new federal law.

These forms are available to fill out and print to make your intial visit check in process much faster. Download the forms below, fill out and print. They are in Adobe Acrobat format (PDF)

Download Casa Grande Office Patient Forms

Download Prescott Office Patient Forms

Tomar Pain Centers is Medicare Certified

Ready to Live Without the Pain? Click the button to schedule your free consultation      Schedule Now

Tomar Pain Centers Prescott

919 12th Place, Suite 12B Prescott, Arizona 86305

 (928) 771-2700

Print Patient Forms

Review us

google reviews icon facebook reviews 

yelp review icon

Tomar Pain Centers Casa Grande

 1821 N Trekell Rd Suite 3B Casa Grande, AZ 85122

 (520) 421-0986

Print Patient Forms