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 several 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