Thank you for choosing Shenandoah Pain and Palliative Care Clinic for your medical needs. You can feel confident knowing you have selected a highly qualified specialist in Broadway. New patients can learn everything they need about their first visit by reading this page. You'll find directions to our office, details about what to expect at your first visit, and our practice mission. We encourage you to print and complete the registration forms conveniently provided below in advance of your first visit to save time.
Please fill out these forms online so we can expedite your first visit:
- Comprehensive Pain Management Intake Form
- Authorization for Release of Health Information
- HIPAA Policy - Notice Of Privacy Practices
- HIPAA Right of Access Form for Family Member/Friend
- Financial Responsibility
- Patient Comfort Assessment Guide
- Informed Consent Controlled Substance Agreement
You can also print and fill out these forms so we can expedite your first visit:
In order to view or print these forms, you will need Adobe Acrobat Reader installed.
Click here to download it.
Map and Directions
What To Expect
Being well prepared for your appointment will ensure that your healthcare practitioner has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this website. We look forward to your first visit.