Become Patient

Thank you for selecting Commerce Pain Management for your pain care. To schedule an appointment, please call us at (706) 423-9449 or use our online appointment request form.

Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process. Please also see the New Patient Requirements below.

Interactive Forms:

• New Patient Registration
• Health History
• Medical Record Request

Downloadable Forms:

• New Patient Registration Packet
• Consent for Release of Information

Please note: It may take a few minutes to load the forms if you are using a dial-up internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

New Patient Requirements

To best serve our patients, we collect a detailed history of your condition before your appointment. We will need you to send the following information to our office for our doctors to review:

• Medical documentation of cause of pain (this could include diagnostic studies, radiology, surgical history and/or medical history)
• Clinical history from any prior pain management clinic
• 12 month pharmacy history
• MRI, CT or other diagnostic testing of the problem area taken in the last four years

This information is gathered to ensure your safety and to help our doctors develop the best course of treatment for you. In addition,

• You must be established with a primary care physician.
• If you have had recent surgery, you must have medical clearance from the surgeon to be treated at our practice.

After we receive your information, our medical staff will review it and if you are qualified, we will contact you to schedule an appointment.