FORMS



Please bring the following to your scheduled appointment:


  • Picture ID
  • Insurance Cards
  • List of Medications you are currently on
  • Name and phone number of your referring doctor
  • MRI and Diagnostic Reports


Please understand that your first visit will be a standard consultation and injections will be scheduled after the initial evaluation.



NEW PATIENT FORMS



If you have a printer, please click on the link below and print out the New Patient Packet.


Please fill out the form in blue/black ink and bring the packet with you to your first appointment.



New Patient Packet
(English)

MEDICAL RECORD RELEASE FORM



Please click on the link below, print and fill out this form thoroughly in order for our office to release your medical records.


Medical Records Release Form

Office: 972 781 0300
Fax: 214 200 9135





5804 Communications Parkway
STE 100
Plano, TX 75093



5804 Communications Parkway STE 100 Plano, TX 75093


Edward T Shin MD
Pain Management Clinic