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