Patient Forms, Resources, and Policies

Patient Resources

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.


In an effort to provide efficient treatment to all of our patients, it is the policy of this company that if you are unable to make your scheduled appointment, you must call to cancel the appointment no later than 24 hours before the scheduled time.

If you fail to cancel your appointment or fail to show up to the appointment, you will be charged a “NO SHOW” fee of $30.00 per occurrence.

For most insurance plans and workers’ compensation carriers, “NO SHOW” charges are a non-covered service. You will be solely responsible for payment of this charge. Repeated “NO SHOWS” and cancellations of your scheduled appointments may result in you being DISCHARGED from care at Tricity Pain Associates ®. If you have any questions about this policy, please speak with a member of our staff.

*Individual results are not guaranteed and may vary from person to person.