Patient Forms

Below are patient forms and documents to help you navigate the medical process and help us to provide integrated and holistic pain management.

New Patient Forms

Complete Version

For anyone not registering for the online portal, you may download the full version of the New Patient Welcome Packet. Please print and complete it prior to you first office visit. 

Condensed Version

For patients with online portal access, you will need to complete the condensed welcome packet with the appropriate clinical forms. Please complete it prior to you first office visit. 

*As of August 21, 2024, Painlogics is migrating to online forms for the administrative section of the New Patient Welcome Packet. You can access this section after registering for the Athena online portal, and using the self check-in function. You will need to complete the demographics, HIPAA privacy, financial policy & insurance agreement, medical records release, social history, and the pain agreement forms. For the remaining clinical section of the New Patient Welcome Packet, please download and complete the condensed registration packet.

Forms & Documents

Miscellaneous Forms

Pain Management Agreement

Download the Painlogics Pain Management Agreement.

Medical Records Release

Download the Medical Records Release form.

SMS Privacy Policy

Download the Medical Records Release form.

Want to get in touch with Painlogics?

For questions regarding forms and resources, please reach out to us. We will be happy to assist you.

Address

490 Sun Valley Dr. Suite 103.
Roswell, GA 30076

Call Us

Phone: (678) 490-2255
Fax: (678) 799-7593

Email Us

Painlogics1@outlook.com