{"id":2628,"date":"2020-06-25T21:47:57","date_gmt":"2020-06-25T21:47:57","guid":{"rendered":"https:\/\/centerforpainfargo.com\/?page_id=2628"},"modified":"2022-02-08T03:41:32","modified_gmt":"2022-02-08T03:41:32","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/centerforpainfargo.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"

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Patient Forms<\/strong><\/h1>\n

Download your patient forms by clicking the PDF icon to the left. Complete and return prior to your appointment at Center for Pain Medicine.\u00a0 Please contact us with any questions you may have prior to your appointment.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”3.24″ background_color=”#ffffff” inner_width_tablet=”50px” inner_max_width_tablet=”100px” inner_max_width_phone=”50px” z_index_tablet=”500″ box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” global_module=”2287″ global_colors_info=”{}”][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ admin_label=”row” _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”3.0.47″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Accepted Insurances” url=”\/accepted-insurances\/” image=”https:\/\/centerforpainfargo.com\/wp-content\/uploads\/2015\/02\/homepage-curcle-buttons-bottom-panel-insurance.png” alt=”Accepted Insurances” image_icon_width=”none” admin_label=”ACCEPTED INSURANCE” _builder_version=”4.13.0″ header_font=”Work Sans|600|||||||” background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width_tablet=”50px” link_option_url=”\/accepted-insurances\/” z_index_tablet=”500″ header_text_shadow_horizontal_length_tablet=”0px” header_text_shadow_vertical_length_tablet=”0px” header_text_shadow_blur_strength_tablet=”1px” body_text_shadow_horizontal_length_tablet=”0px” body_text_shadow_vertical_length_tablet=”0px” body_text_shadow_blur_strength_tablet=”1px” body_link_text_shadow_horizontal_length_tablet=”0px” body_link_text_shadow_vertical_length_tablet=”0px” body_link_text_shadow_blur_strength_tablet=”1px” body_ul_text_shadow_horizontal_length_tablet=”0px” body_ul_text_shadow_vertical_length_tablet=”0px” body_ul_text_shadow_blur_strength_tablet=”1px” body_ol_text_shadow_horizontal_length_tablet=”0px” body_ol_text_shadow_vertical_length_tablet=”0px” body_ol_text_shadow_blur_strength_tablet=”1px” body_quote_text_shadow_horizontal_length_tablet=”0px” body_quote_text_shadow_vertical_length_tablet=”0px” body_quote_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” box_shadow_horizontal_image_tablet=”0px” box_shadow_vertical_image_tablet=”0px” box_shadow_blur_image_tablet=”40px” box_shadow_spread_image_tablet=”0px” text_shadow_horizontal_length_tablet=”0px” text_shadow_vertical_length_tablet=”0px” text_shadow_blur_strength_tablet=”1px” image_max_width=”none” global_colors_info=”{}”]<\/p>\n

\u00a0<\/p>\n

View<\/a> <\/strong>a complete list of insurances.<\/p>\n

\u00a0<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”3.0.47″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Patient Portal” url=”\/patient-portal\/” image=”https:\/\/centerforpainfargo.com\/wp-content\/uploads\/2015\/02\/homepage-circle-button-patient-portal.png” alt=”PATIENT PORTAL” admin_label=”PATIENT PORTAL” _builder_version=”4.13.0″ header_font=”Work Sans|600|||||||” background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width_tablet=”50px” z_index_tablet=”500″ header_text_shadow_horizontal_length_tablet=”0px” header_text_shadow_vertical_length_tablet=”0px” header_text_shadow_blur_strength_tablet=”1px” body_text_shadow_horizontal_length_tablet=”0px” body_text_shadow_vertical_length_tablet=”0px” body_text_shadow_blur_strength_tablet=”1px” body_link_text_shadow_horizontal_length_tablet=”0px” body_link_text_shadow_vertical_length_tablet=”0px” body_link_text_shadow_blur_strength_tablet=”1px” body_ul_text_shadow_horizontal_length_tablet=”0px” body_ul_text_shadow_vertical_length_tablet=”0px” body_ul_text_shadow_blur_strength_tablet=”1px” body_ol_text_shadow_horizontal_length_tablet=”0px” body_ol_text_shadow_vertical_length_tablet=”0px” body_ol_text_shadow_blur_strength_tablet=”1px” body_quote_text_shadow_horizontal_length_tablet=”0px” body_quote_text_shadow_vertical_length_tablet=”0px” body_quote_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” box_shadow_horizontal_image_tablet=”0px” box_shadow_vertical_image_tablet=”0px” box_shadow_blur_image_tablet=”40px” box_shadow_spread_image_tablet=”0px” text_shadow_horizontal_length_tablet=”0px” text_shadow_vertical_length_tablet=”0px” text_shadow_blur_strength_tablet=”1px” global_colors_info=”{}”]<\/p>\n

Log in<\/a><\/strong> to email the clinic, request an appointment, pay your bill, view your chart.<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”3.0.47″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Patient Referrals” url=”https:\/\/centerforpainfargo.com\/refer-a-patient-2\/” image=”https:\/\/centerforpainfargo.com\/wp-content\/uploads\/2019\/09\/homepage-circle-button-referrals.png” alt=”PATIENT REFERRALS” admin_label=”PATIENT REFERRALS” _builder_version=”4.13.0″ header_font=”Work Sans|600|||||||” background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width_tablet=”50px” link_option_url=”https:\/\/centerforpainfargo.com\/refer-a-patient-2\/” z_index_tablet=”500″ header_text_shadow_horizontal_length_tablet=”0px” header_text_shadow_vertical_length_tablet=”0px” header_text_shadow_blur_strength_tablet=”1px” body_text_shadow_horizontal_length_tablet=”0px” body_text_shadow_vertical_length_tablet=”0px” body_text_shadow_blur_strength_tablet=”1px” body_link_text_shadow_horizontal_length_tablet=”0px” body_link_text_shadow_vertical_length_tablet=”0px” body_link_text_shadow_blur_strength_tablet=”1px” body_ul_text_shadow_horizontal_length_tablet=”0px” body_ul_text_shadow_vertical_length_tablet=”0px” body_ul_text_shadow_blur_strength_tablet=”1px” body_ol_text_shadow_horizontal_length_tablet=”0px” body_ol_text_shadow_vertical_length_tablet=”0px” body_ol_text_shadow_blur_strength_tablet=”1px” body_quote_text_shadow_horizontal_length_tablet=”0px” body_quote_text_shadow_vertical_length_tablet=”0px” body_quote_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” box_shadow_horizontal_image_tablet=”0px” box_shadow_vertical_image_tablet=”0px” box_shadow_blur_image_tablet=”40px” box_shadow_spread_image_tablet=”0px” text_shadow_horizontal_length_tablet=”0px” text_shadow_vertical_length_tablet=”0px” text_shadow_blur_strength_tablet=”1px” use_border_color=”off” global_colors_info=”{}”]<\/p>\n

\u00a0<\/p>\n

Center for Pain Medicine is accepting new patients.\u00a0 Please download the referral form<\/strong><\/a> and fax to 701-551-6984.<\/p>\n

\u00a0<\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”3.0.47″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Policies & Billing” url=”\/policies-billing\/” image=”https:\/\/centerforpainfargo.com\/wp-content\/uploads\/2019\/09\/homepage-circle-button-policies.png” alt=”POLICIES & BILLING” image_icon_width=”none” admin_label=”POLICIES & BILLING” _builder_version=”4.13.0″ header_font=”Work Sans|600|||||||” background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width_tablet=”50px” link_option_url=”\/policies-billing\/” z_index_tablet=”500″ header_text_shadow_horizontal_length_tablet=”0px” header_text_shadow_vertical_length_tablet=”0px” header_text_shadow_blur_strength_tablet=”1px” body_text_shadow_horizontal_length_tablet=”0px” body_text_shadow_vertical_length_tablet=”0px” body_text_shadow_blur_strength_tablet=”1px” body_link_text_shadow_horizontal_length_tablet=”0px” body_link_text_shadow_vertical_length_tablet=”0px” body_link_text_shadow_blur_strength_tablet=”1px” body_ul_text_shadow_horizontal_length_tablet=”0px” body_ul_text_shadow_vertical_length_tablet=”0px” body_ul_text_shadow_blur_strength_tablet=”1px” body_ol_text_shadow_horizontal_length_tablet=”0px” body_ol_text_shadow_vertical_length_tablet=”0px” body_ol_text_shadow_blur_strength_tablet=”1px” body_quote_text_shadow_horizontal_length_tablet=”0px” body_quote_text_shadow_vertical_length_tablet=”0px” body_quote_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” box_shadow_horizontal_image_tablet=”0px” box_shadow_vertical_image_tablet=”0px” box_shadow_blur_image_tablet=”40px” box_shadow_spread_image_tablet=”0px” text_shadow_horizontal_length_tablet=”0px” text_shadow_vertical_length_tablet=”0px” text_shadow_blur_strength_tablet=”1px” image_max_width=”none” global_colors_info=”{}”]<\/p>\n

\u00a0<\/p>\n

View<\/a> <\/strong>our policies and billing information.<\/p>\n

\u00a0<\/p>\n

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Patient Forms Download your patient forms by clicking the PDF icon to the left. Complete and return prior to your appointment at Center for Pain Medicine.\u00a0 Please contact us with any questions you may have prior to your appointment.\u00a0 View a complete list of insurances. \u00a0Log in to email the clinic, request an appointment, pay […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/pages\/2628"}],"collection":[{"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/comments?post=2628"}],"version-history":[{"count":17,"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/pages\/2628\/revisions"}],"predecessor-version":[{"id":3151,"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/pages\/2628\/revisions\/3151"}],"wp:attachment":[{"href":"https:\/\/centerforpainfargo.com\/wp-json\/wp\/v2\/media?parent=2628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}