Forms
The following forms will need to be downloaded and completed, depending on your particular situation. Please contact us if you have any questions as to which forms you will need to complete. Once completed, please either bring with you to your appointment, email the completed forms to info@ainpain.com, or call us at 212-203-2813.
To view these forms, you will need the free Adobe Acrobat Reader, available for download here: get.adobe.com/reader/
Initial Patient Visit Forms
Workers Compensation Forms
Car Accidents/No-Fault Forms
Miscellaneous Forms
- Consent to Disclose Protected Information
- Guidelines for Patients on Blood Thinners
- Opioid Contract
- Opioid Treatment _ Pain Management Agreement
- Platelet Rich Plasma Pre-Operative Guidelines
- Pre-Procedure Instructions
- Post-Procedure Instructions
- Recommendations for Patients with Constipation
- Release of Records
Founder at Ainsworth Institute of Pain Management
Dr. Corey Hunter is a nationally recognized interventional pain physician and the founder of Ainsworth Insitute. His publications have appeared in textbooks on treating pain and he is a regular contributor in leading pain management journals.
Latest posts by Corey Hunter, M.D. (see all)
- Hydrodissection – Science or Science Fiction - March 23, 2021
- Facebook Live 2 – Full Video - April 2, 2020
- (Full Presentation) Top 5 Things Pain Patients Need To Know During The Coronavirus Pandemic - March 30, 2020