Policies & Forms
offers a variety of the most Advanced, evidence-based treatment modalities that are customized to treat your specific condition.
Welcome
A Welcome Letter
Your First Visit guide and Expectations. Our Mission is to provide an unmatched quality care to our patients,....
Our Mission is to provide an unmatched quality care to our patients, the most advanced pain management care in the field, to control or eliminate pain and enable you to return to a productive functional lifestyle.
Agreement
Controlled Substances Agreement
In Case Controlled Substances will be part of your plan of care, you will be asked to sign and comply…
After your initial evaluation by our Pain Management provider, controlled substances might be recommended in your plan of care, in which case you will be asked to sign and comply with the clinic’s Controlled Substances Agreement (CSA).
Policy
Controlled Substances Medication Policy
After your initial evaluation by our Pain Management provider, controlled substances might be
Financial
Financial Responsibility
CLAIMS, PAYMENT, REVIEWS
AND FINANCIAL RESPONSIBILITIES
AND FINANCIAL RESPONSIBILITIES
Insurance
Insurance Information
We participate with most health insurance carriers providing coverage in Orange County and the Los Angeles County areas and vicinity...
Policy
Medication Refill Policy
In the event that you need a medication refill, please contact the pharmacy directly or call our office and leave a message for the clinical staff including your name, date of birth, as well as the name of the medication.
Policy
Missed Appointment / Cancellation Policy
We do understand that things can happen and you might not be able to make your appointment as scheduled, but unfortunately when a patient No Shows or Cancels last minute it is too late to fill that appointment time with another patient who may have been in need for Urgent appointment.
Privacy
Privacy Notice
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Records
Receiving Medical Records
This authorization allows the healthcare provider(s) in outside facility release your confidential medical information and records to our practice.
Records
Sending Medical Records
Authorizing Mission Advanced Pain Management & Spine Center, P.C. to use and/or disclose Your
Book An Appointment
Please feel welcome to contact our friendly reception staff with any general or medical enquiry. Our doctors will receive or return any urgent calls.