New PAIN Patient Paperwork
Please complete the attached paperwork prior to your first visit. Bring this paperwork, your insurance card and photo ID, and recent x-ray or imaging reports.
New MAT Patient Paperwork
This paperwork is for new patients seeking medically assisted treatment for addiction. Please print and complete this packet and bring it with you to your first visit.
Release of Medical Records
We have partnered with MediCopy to provide accurate and timely delivery of your medical records. Please complete this form and send to MediCopy via email or fax.
Good Faith Estimate Request
Request an estimate for self-pay or non-covered services.
I am very grateful for Dr. Klim and his staff. Although I know I will never be completely pain free. They have made an amazing difference in my life. Thank you.Matt
He’s been my doctor since 2006. He put a pain pump in my back which has saved my life!TR
I would highly recommend Dr. Klim and his caring staff for anybody who has chronic pain and needs help. The spinal cord stimulator from Boston Scientific was recommended after years of back pain. I'm so grateful to have less pain and need less pain medication.Grateful for Medical Pain and Spine Care of Indiana
Nothing is worth doing if it can't be shared... I feel like the old me again."Arlene's Story: Boston Scientific | Click here
Exceptional staff! Nurse Practitioners and Dr. Klim all take time to listen.CH
I have been a patient of Dr. Klim's on pain medication for several years. After seeing the physical therapist, I was able to decrease my dosage to the point where I no longer needed pain medication. I am grateful for the care I've received and no longer need. Thank you, Dr. Klim and the staff at Medical Pain and Spine Care.Thankful for Physical Therapy!
I am not a big fan of needles, but Dr. Klim is very gentle in his approach and tells you what he is going to do before he does it. I finally got some relief from my pain and can walk again thanks to Dr. Klim.GR - Grateful for Relief
I can honestly say Dr. Klim changed my life. I have dealt with chronic pain for 23 years. My best friend suggested I see Dr. Klim. I have never had a doctor be so thorough with a care plan. He did prescribe medication, but he also recommended physical therapy, did several injections, and yesterday I got a spinal cord stimulator. I would recommend the stimulator to anyone considering it.Happy SCS Patient
I've been a patient of Dr. Klim's since 2014 after seeing a number of specialists over the years, said to be the "top Doctors in the U.S." including Cleveland Clinic, with not so good results. Dr. Klim was very thorough and never attempted to push any medication, narcotic or otherwise, on me. I never imagined only being on one medication for the severe pain I had for a number of years with very little relief. I found out there were alternatives available that were more effective - treatments such as trigger point injections and a lower lumbar injection that helps for several months. These treatments not only made my life better but I didn't walk around with the fogginess I had from ones used in the past and a literal cocktail of medications I didn't really want or need. Now I'm actually able to think straight, enjoy going grocery shopping (something I couldn't do before), as well as being able to clean and cook. I have an actual doctor-patient relationship where I have input in my treatment. Dr. Klim has always been very professional but at the same time he's been empathetic to my medical issues. Dr. Klim is the best doctor I've seen in terms of patient care. If you're looking for narcotics and no other treatment, Dr. Klim is not the doctor for you. If you're looking for improvement to your quality of life, he's absolutely the right doctor to see!Keli R