Thank you for choosing Advanced Pain Solutions. To ensure that your first visit goes smoothly, please print and complete the patient packet below and return it to our office by mail, fax or hand delivery.

You MUST bring all of the following with you to this appointment. Failure to do so will result in your appointment being rescheduled.

  • A valid, Texas, photo ID
  • All insurance ID cards
  • An up to date medication list
  • Your specialist office visit copay/co-ins/deductible amount due
    • If you have any questions regarding your amount due, please give our office a call prior to your appointment.
  • This New Patient Packet with all pages completed except for the signatures.
    • We will need to witness you sign them when you check in.
    • If for any reason you do not receive your paperwork, you must arrive at least 1 hour early.

Should you need to cancel or reschedule, we ask that you notify the office at least 1 business day in advance. Failure to do so, will result in a $25 fee. We do this to assure that every patient can be seen as soon as possible. Also, we will not allow more than 3 scheduled attempts as this prevents other patients from being seen.

As a reminder, this appointment is a consultation only. After evaluation, it is at the physician’s discretion to accept you as a patient, prescribe medications, and/or offer treatment.


Mesquite (Main)

3865 Childress Avenue Suite A
Mesquite, TX 75150


3931 Joe Ramsey Boulevard Suite D
Greenville, TX 75401

Advanced Pain Solutions
3865 Childress Ave.
Suite A
Mesquite, TX 75150

Fax: 972-681-1079