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Access CFIPain Patient Forms for physician referrals, medical consent, HIPPA notices, and patient registration. Download PDF versions or complete online.

Welcome to the CFIPain Patient Forms page – To streamline your visit, we offer a range of forms that you can complete online or download and print. This ensures a smooth and efficient process when you arrive at our clinic.

Authorization for Release of Medical Information

> Online Form // Download PDF

Medical Consent to Treat

> Online Form // Download PDF

HIPPA – Notice of Privacy

> Online Form // Download PDF

Patient Registration Form

> Online Form // Download PDF

Patient Pain Contract

Download PDF

Opioid Risk Tool

Download PDF

These forms are essential for us to provide you with the best possible care. Please complete them before your visit to ensure we have all the necessary information to serve you effectively. If you have any questions, feel free to contact our office for assistance.

Patient Forms