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Pain Management, Back Pain, Neck Pain
Who We Are
Dr Gandhi
Dr L Mortensen
Dr Quintana
Tina Lovely, RN-MSN FNP
Lisa O'Brien, APNP
Laura Burgmeier, APNP
Nicole Novak PA-C
Kristen Hilburger NP
What We Do
Pain Management
Spinal Cord Stimulation
Epidural Treatment
Low Back Pain
Joint Pain
Spinal Stenosis
Long Covid
Why Choose Us
Our Point-of-Difference
Testimonials
Careers
News
Locations
Forms
Contact Us
Pain Management, Back Pain, Neck Pain
Who We Are
Dr Gandhi
Dr L Mortensen
Dr Quintana
Tina Lovely, RN-MSN FNP
Lisa O'Brien, APNP
Laura Burgmeier, APNP
Nicole Novak PA-C
Kristen Hilburger NP
What We Do
Pain Management
Spinal Cord Stimulation
Epidural Treatment
Low Back Pain
Joint Pain
Spinal Stenosis
Long Covid
Why Choose Us
Our Point-of-Difference
Testimonials
Careers
News
Locations
Forms
Contact Us
Folder: Who We Are
Back
Dr Gandhi
Dr L Mortensen
Dr Quintana
Tina Lovely, RN-MSN FNP
Lisa O'Brien, APNP
Laura Burgmeier, APNP
Nicole Novak PA-C
Kristen Hilburger NP
Folder: What We Do
Back
Pain Management
Spinal Cord Stimulation
Epidural Treatment
Low Back Pain
Joint Pain
Spinal Stenosis
Long Covid
Folder: Why Choose Us
Back
Our Point-of-Difference
Testimonials
Careers
News
Locations
Forms
Contact Us

Forms

 

In order to help us prepare for your initial appointment please print out
and complete the forms listed below and bring them with you at the scheduled time. Thank you!

The Innovative Pain Care Team


[Please click on the links below]

Financial Responsibility Form

New Patient Intake Form

PHI Consent Form

Release of Information Form

Release From IPC Form


 
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3111 W Rawson Ave
Franklin, WI 53132
Tel: 414.260.5544 | Fax: 866.471.2829

No Surprises Act Notice of Nondiscrimination

Who We Are
What We Do
Why Choose Us
Contact Us