Schedule Your Face To Face Health Consultation. Pain Solutions For More Than A Decade


This Questionnaire is NOT mandatory, however; this information along with your records provides the Physician with a very clear picture of your needs. We have used this questionnaire for the past 14 years. If you prefer to not include this questionnaire please CLICK HERE to go directly to the final page to complete your sign up process (You can always fill out this questionnaire later).

Fill out our OTN Questionnaire.

What Happens Next?

Submit this completed form and you will be directed to the payment page. Once payment is completed you will receive a receipt, a confirmation email with instructions to provide your records while we reach out to contact you and get you started with your first appointment.

In compliance with federal law "Ryan Act", no consultation request will be processed without first completing face to face consultation with one of our network physicians.