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Welcome, New Patients

We’re committed to making your experience as smooth and stress-free as possible from the moment you schedule your appointment. Whether you’re visiting us for acute or chronic pain, injury recovery, or a specialist evaluation, our team is here to guide you every step of the way.

WHAT TO EXPECT?

Initial Consultation with Dr. Mike

Start with a focused one-on-one consultation where Dr. Mike listens to your concerns, symptoms, and goals to understand your unique pain experience.

Detailed Medical Review

We carefully examine your medical history, previous treatments, and imaging to ensure a complete and informed assessment of your condition.

Personalized Treatment Plan

Based on your needs, we craft a customized plan using advanced pain management and regenerative therapies, designed to restore function, activity and improve quality of life.

Insurance & Payment Information

At OC Regenerative & Pain Center, our goal is to make treatment as accessible and transparent as possible. At this time:

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  • We do not accept HMO plans.

  • For PPO, Medicare, and other insurance options, please contact our office directly for more details.

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We encourage patients to contact our office with any questions about coverage or payment options. Our team is happy to provide estimates and guidance before scheduling your care.

Patient Forms

You can view, download, or print each form below:

PLEASE NOTE

If your treatment may include opioid medication, please take a moment to review our prescribing guidelines by visiting our

Patient Information Form

Share your medical history, current symptoms, and personal information to help us personalize your care.

ANSWER ONLINE FORM

Consent to Treat and Share Information

Provide your consent for treatment and allow our team to coordinate your care by securely sharing relevant medical information with authorized providers and partners.

ANSWER ONLINE FORM

Opioid Agreement

Required for patients receiving opioid-based treatment. Please read and sign prior to your visit.

ANSWER ONLINE FORM

Provider Referral Form

For referring providers. Complete and send this form to refer a patient to Dr. Mike.

ANSWER ONLINE FORM

Patient Medical Questionnaire Form

Share your medical history and current health details so we can provide safe, accurate, and personalized care.

ANSWER ONLINE FORM
DOWNLOAD FORM

Telemedicine Consent Form

Details the terms and limitations of receiving care via telemedicine and confirms your consent to engage in virtual visits with our providers.

ANSWER ONLINE FORM

Financial Responsibility and Billing Agreement Form

Outlines your responsibility for payment and explains our billing policies to ensure transparency regarding insurance and out-of-pocket costs.

ANSWER ONLINE FORM

HIPAA Privacy Notice and Acknowledgment Form

Informs you of your privacy rights under HIPAA and confirms that you’ve received and reviewed our privacy practices regarding your health information.

ANSWER ONLINE FORM

Specialty Treatment/Procedure-Specific Consent Form

Provides detailed information about specific procedures or treatments and documents your informed consent. (This template will be customized per treatment.)

ANSWER ONLINE FORM

No-Show/Cancellation Policy and Appointment Agreement Form

Explains our policy on missed or cancelled appointments and sets expectations to help you stay on track with your care plan.

ANSWER ONLINE FORM

HOW TO SUBMIT FORMS?

You may bring the completed forms to your appointment or email them directly to us.

Visiting Our Office

You’ll find convenient on-site parking and a welcoming office environment designed with your comfort in mind.
Have questions or need directions? Call us, send us an email, or use the website chat — our team is ready to assist you.

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