General Forms

Florida Pain Institute HIPAA and Designation (PDF)
Florida Pain Institute New Patient Form (PDF)
Florida Pain Institute Release (PDF)
Language Assistance and Auxiliary Aids
New Patient Packet - Spanish (PDF)
Notice of Non-Discrimination - English
Notice of Non-Discrimination - Spanish
Notice of Privacy Practices - English
Notice of Privacy Practices - Spanish
Notice Regarding Patient Protections Against Surprise Billing
Right to Receive a Good Faith Estimate of Expected Charges