Thank you for subscribing to the Back Pain Relief Center’s Patient Resources. Here you will find materials and information that will make your experience with our practice more convenient, informative, and helpful for your particular condition.

In addition, you’ll receive weekly updates of the Back Pain Relief Secrets’ website articles, as well as announcements of upcoming services and events that you or someone you know may have an interest in.

Free VIP Consultation

As someone new to our practice, we are happy to offer you a free consultation to discuss your back or neck pain. This consultation will include a comprehensive medical history, a detailed physical examination, a full assessment of our findings, and our specific recommendations to help you.

To claim your free VIP consultation voucher, simply click the “VIP Consultation Voucher” link below and follow the simple instructions.

FREE CONSULTATION Access Link
Schedule Your Free ViP Consultation << VIP Consultation Voucher >>



Should you decide to move forward with treatment, we can do so on this initial visit. We are providers for all major insurance carriers including Medicare, Worker’s Compensation, and Auto Insurance.

If you have no insurance or need financial assistance, we WILL NOT turn you away.

Private Client Premium Access

To access your Silver Elite, Gold Elite, Platinum Elite, or VIP private client level, click the “Access” link below.

Membership Level Access Link
Silver Elite << Access >>
Gold Elite << Access >>
Platinum Elite << Access >>
VIP << Access >>


Patient Education Guides

Here’s direct access to our entire library of downloadable articles on the most frequently occurring spine related problems. Click the “Click Here” link for free library access.

Patient Resources Access Link
Patient Education Guides << Click Here >>


Specific Home Exercises

These exercises are only available to patients who have been seen in the clinic and prescribed a particular exercise for their condition. In addition to the video presentations, you will be able to download a home exercise booklet.

Patient Resource Access Link
Exercises For Neck and Upper Back Pain << Click Here >>
Exercises For Low Back Pain and Sciatica << Click Here >>


Office Forms

Before we can see you for your inital visit (free or otherwise), certain paperwork will be required. Save time on your first visit to our office by bringing your completed initial paperwork with you. Simply click the “DOWNLOAD” link beside each of the forms below, print, and fill in the required information.

Required Office Forms Access Link
New Patient Information Form << DOWNLOAD >>
Medical History Form << DOWNLOAD >>
Functional Questionnaire << DOWNLOAD >>


For Medicare Patients ONLY

If you will be filing your treatment through Medicare, here are two additional forms we will need from you.

Medicare Forms Access Link
Medicare Financial Limitation Form << DOWNLOAD >>
Medicare Secondary Payer Form << DOWNLOAD >>