PrimeCare Consulting, LLC
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Welcome.
​

You have been referred for an appointment in relation to a work injury.

​We make every effort to make contact prior to the appointment to provide documentation for the encounter, including a patient questionnaire. However, if this is not possible, we ask patients to arrive 45 minutes prior to their scheduled appointment for form completion.

​Depending upon the new patient appointment type, the visit can range between 45 minutes to 2 hours. The physician makes every effort to remain on schedule, so your promptness in arrival is greatly appreciated.

You may be asked to wear a paper examination gown depending upon your symptoms to allow a thorough assessment.

Our forms are available for downloading below.

Thank you.

​FORMS

All New Patient Forms

Patient Questionaire.pdf
File Size: 162 kb
File Type: pdf
Download File

Pain Diagram.pdf
File Size: 162 kb
File Type: pdf
Download File

WC Signature.pdf
File Size: 113 kb
File Type: pdf
Download File

HIPAA Authorization.pdf
File Size: 122 kb
File Type: pdf
Download File


​Independent Medical Evaluation

IME Consent-Explanation.pdf
File Size: 124 kb
File Type: pdf
Download File


Second Opinion

2nd Opinion Consent.pdf
File Size: 118 kb
File Type: pdf
Download File

2nd Opinion Explanation.pdf
File Size: 144 kb
File Type: pdf
Download File

Follow-Up Appointment
Pain Diagram FU.pdf
File Size: 166 kb
File Type: pdf
Download File

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  • Home
  • About
  • Patients
  • Contact