New Patients

Welcome to PrairieShoreâ„¢ Pain Center! To maximize your time with us, please download and complete the forms below and bring these papers with your health insurance card and government-issued photo ID to your initial visit.

If your paperwork is done, please plan to arrive 30 minutes before your scheduled appointment time.

If you are unable to complete your paperwork prior to your appointment, please arrive 60 minutes before your scheduled appointment time in order to finish these forms. Please contact us at (847) 883-0077 if you have any questions.

Download The Full Set of New Patient Forms