PEDIATRIC PAPERWORK (Birth to 15 years of age)

To maximize our time together please complete your “Virtual Consult” (Pediatric Evaluation Questionnaire) paperwork online prior to your virtual consultation.

The team at the Pain & Sleep Therapy Center work hard to make the transition to our practice seamless.  We know many patients are coming to us in need of our help and therefore we do our best to omit redundancy and focus on healing and improving the lives of our patients.

To maximize your first visit with us, we request that you complete the New Patient Paperwork and return to the office 24 hours prior to your appointment for the clinical team to review.  Please be sure to bring your medical and dental insurance cards with you to your first visit.

To email New Patient Paperwork –

To fax New Patient Paperwork – (302) 285-2264

We will spend time reviewing your insurance coverage at the appointment however we encourage patients to utilize the resources on the Navigating Insurance page.

As not to delay appointments for other scheduled patients, we reserve the right to reschedule your appointment if you arrive 15 minutes after your scheduled appointment.

If you or your provider wish to receive a copy of your medical records,
please call the office at (302) 239-1757