What to complete before your first visit
Finishing a few standard forms ahead of time keeps your appointment focused on your pain, not paperwork. The new-patient intake form collects your contact details, pharmacy, and the reason for your visit. A medical history form asks about past diagnoses, surgeries, current medications, allergies, and prior pain treatments, so Dr. Memon can plan an appropriate, non-surgical approach.
You will also review a HIPAA notice and consent, which explains how your protected health information is used and kept private. Insurance verification lets our team confirm your coverage and any copay before you arrive; we verify benefits with insurers such as Medicare, UnitedHealthcare, BCBS, WellMed, Wellcare, Molina, and Cigna. A records release authorizes us to request relevant notes or imaging from your prior providers. Completing these in advance helps prevent delays and surprises on the day of your visit.