New Patient Forms

Welcome to PRIA. Please take a moment to fill out our new patient forms to get started.

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New Patient Health Questionnaire
Description of Pain

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Pain Assessment

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Acknowledgment Form
For Women of Child-bearing Age

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Opioid Risk Tool

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Informed Consent for Chronic Opioid Therapy Dr. Johnson

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Controlled Substances Agreement
Dr. Johnson

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PRIA New Patient Form & HIPPA Form