Forms

New Patients

Note that the first appointment will be for consultation only,  and treatment(s) may or may not begin until a later appointment.

It is very important that you complete the following tasks for your appointment with Dr. Bryan Lee.

  • Download and fill out the 5 forms below and BRING to your doctor’s visit.
  • Bring your Insurance card, Picture ID card, and Prior Authorization Form (usually if you are with an HMO).
  • All co-pays, deductibles, and co-insurance will be collected during check-in.  We accept cash, ATM, credit cards (Visa, Mastercard, American Express, and Discover), money order/cashier’s check.  No personal checks are accepted.
  • Bring all your medications (including prescription bottles, boxes).
  • Bring all pertinent medical records (doctor’s notes), radiological reports (ex: X-rays, MRI, CT scan) and lab reports.

NEW PATIENTS: Click on the links below to download the SCCPM forms #1-5. Please complete and bring to your appointment with Dr. Bryan Lee.

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Return Patient (Follow-up)

  • Bring your Insurance card, Picture ID card, and Prior Authorization Form (usually if you are with an HMO).
  • All co-pays, deductibles, and co-insurance will be collected during check-in.  We accept cash, ATM, credit cards (Visa, Mastercard, American Express, and Discover), money order/cashier’s check.  No personal checks are accepted.
  • We encourage you to bring your medications (including prescription bottles, boxes).
  • (Optional) Bring any new pain related medical records (doctor’s notes), radiological reports (ex: X-rays, MRI, CT scan) and lab reports.

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Pre & Post Procedure Instructions

If you are getting a pain procedure (ex: epidural steroid instructions), you were given a PRE-PROCEDURE INSTRUCTION FORM (before the procedure) and a POST-PROCEDURE INSTRUCTION FORM (after the procedure).

If you have misplaced your instructions, here are copies for you to download.