Office Policies


Pain Management Office Policies, Portsmouth, NH

Medical & Managed Care Insurances


We participate with and bill most of the major insurances. Please check with us AND your company to verify coverage.

If your insurance requires a referral, YOU are required to obtain the referral. If your insurance requires the referral, and none is in place, YOU are responsible for payment.

Medical Release FormTreatment Agreement

Financial Policy


Payment is expected when services are rendered. Insurance co-payments are due at the time of service with no exceptions.

If you are paying for services yourself, then payments are due at time of service, no exceptions.

Payment Options


We accept cash, money orders and credit cards (Mastercard, Visa, Discover, American Express).

We regret that we are unable to accept checks.

Cancellation Policy


Kindly provide at least 48 hours notice for any appointment that needs to be rescheduled.

Appointments cancelled in less than 24 hours may be subject to a cancellation charge. You may be subject to a $50.00 cancellation fee for which YOU are responsible, not your insurance carrier.