On a scale of 0-10, 0 being no pain and 10 being the worst pain you can imagine, please describe your pain:
I understand that I will have an evaluation by a provider at Richmond Spine Interventions and Pain Center. The provider will perform an evaluation, a physical examination, and review some of my medical records. This evaluation may or may not consist of possible treatments, including referrals, prescription medications, and procedures. The provider will make recommendations based upon this evaluation, which may or may not include future treatment at Richmond Spine Interventions and Pain Center. I understand that there will be a charge submitted to my insurance company and I will be responsible for my copayment at the time of my visit, and my deductible as per my insurance plan policies.