Skip to main content

Arizona 623.516.8252 | Florida 386.274.2977

Request Appointment

About
Providers
Locations
Conditions
Services & Programs
Patient Information
Referring Providers
Contact

See More Options

Forms
Insurance Information
Blog
Pain News Magazine
FAQ

Forms

Please click on the links below to download our patient forms.

Insurance

Authorization To Release Medical Information
Notice of Privacy Practices HIPAA
Notice of Privacy Practices HIPAA Spanish
Patient Rights & Responsibilities

Referrals

Fax-A-Referral Greater Phoenix
Fax-A-Referral Prescott
Fax-A-Referral Tucson

Common Conditions Treated

Back Pain
Neck Pain
Leg Pain
Joint Pain
Pelvic Pain
Arm Pain
Abdominal Pain
Head Pain
Foot Pain
Total Body Pain

Not sure? See all conditions.

For Patients

Request Appointment
Meet the Providers
Patient Forms
FAQ
Accepted Insurance
Patient Testimonials
Patient Portal
Medical Device Warning
Treatment Videos
Privacy Policy & Terms of Use
Non-Discrimination Policy

For Referral Coordinators

Why The Pain Center?
Arizona & Florida Locations
Fax Forms
Insurance Forms
Physicians by Location
What Our Referrals Are Saying

Locations

Arizona

Peoria,

Peoria
Phoenix,

Arcadia
Phoenix,

Deer Valley
Phoenix,

Paradise Valley
Phoenix,

Phoenix Surgical Center
Phoenix,

West Phoenix
Prescott,

Prescott
Surprise,

Surprise
Tempe,

Tempe
Tempe,

Tempe Surgical Center
Tucson,

'A' Mountain

Florida

Daytona Beach,

Daytona
Daytona Beach,

Ormond Beach
DeLand,

DeLand
Lake Mary,

Lake Mary
New Smyrna Beach,

New Smyrna
Orange City,

Orange City
Ormond Beach,

Alliance Specialty Surgical Center
Palm Coast,

Palm Coast
Port Orange,

Port Orange

Have a Question?

Arizona 623.516.8252
Florida 386.274.2977
Contact Us

Partner With Us

Alliance Interventional

©2019 Alliance HealthCare Services. All rights reserved.