cpc@columbuspaincenter.com 7141 Moon Rd. • Columbus, GA 31909 • Phone: 706-322-PAIN (7246) • Fax: 706-596-2115

Patient Forms

Patients are seen by appointment only.
Our office hours are:
Monday - Friday
8:00 am - 12:00 pm
2:00 pm - 5:00 pm

Appointments with Columbus Pain Center are made either by referral from your primary care physician or by self-referral based on the requirements of your primary insurance carrier. When making an appointment, please have your current insurance card, social security number, and basic demographic information available for the office staff. If your primary insurance carrier requires a referral from your primary care physician, please schedule your appointment through your primary care physician.

When you come to your first appointment with our office, you will need to bring your insurance card(s), picture identification (such as driver's license), and any necessary referrals. Please check with our office staff prior to your appointment to make sure all necessary information and paperwork has been received.

Necessary Forms

Please return the forms by fax or mail to:
Columbus Pain Center
P.O. Drawer 9456
Columbus, GA 31908
Fax: 706-596-2115

Patient Registration PDF icon

Authorization for Release of Information PDF icon

Medical History Questionnaire PDF icon

Columbus Pain Center Financial Policy PDF icon

Appointments Information PDF icon

Insurance

Columbus Pain Center will gladly file your insurance as a courtesy for you. We accept most major medical insurance plans, as well as Tricare, Medicare, various Georgia Medicaid or related plans, and approved workers compensation plans.

To contact our office by telephone, please call 706-322-PAIN (7246) during our business hours noted above. For your convenience you may fax your paperwork to 706-596-2115. Thank you for returning this information promptly. We look forward to assisting you in your pain management care.

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