Once we have received a referral from your primary care provider or specialist, we ask that each new patient completes the following forms:
Important items to bring with you at
Since there are so many different insurance plans and we won't have a copy of your current insurance cards until you arrive, we recommend you contact your insurance company to verify if Pain Management Group, LLC (Ajit V. Pai, M.D. and/or Juliana Mwose, ACNS-BC) are participating providers with your particular insurance plan.
Also, some insurance plans (including some Medicare type plans) require a referral and/or prior authorization for visits and/or procedures. If you have any questions, please do not hesitate to contact our main office at 574-251-0498 or 877-614-PAIN .
Important: If you are on aspirin or any blood thinners (including but not limited to - Coumadin, Warfarin, Plavix, Aggrenox, Lovenox, Pradaxa), you will need clearance from the prescribing provider to be off of your blood thinner for five days prior to your procedure with us. Please let us know if you are taking a blood thinner and we will advise you accordingly.