Forms2018-06-25T13:04:04+00:00

Patient Forms

To speed your initial appointment and better help us understand your pain conditions, please fill out a Patient Information form.

Form options:

  1. Download and print the the form, complete the form, and bring the completed form with you on your first visit.
  2. Arrive at least 30 minutes prior to your appointment and we will provide the forms for you to fill out.
Download Patient Information Form (PDF)

We are so confident in our results that we offer a

free consultation and initial treatment.

The only thing you have to lose is your pain. Contact Pain Free Life Centers today:

TROY 248-879-1100

SHELBY TOWNSHIP
586-459-0077

BLOOMFIELD 248-763-2700

BRIGHTON 810-788-8700