New Patient Forms

Welcome to PRIA. Please take a moment to fill out our new patient forms to get started.

New Patient Health Questionnaire

Description of Pain

Pain Assessment

Acknowledgment Form

For Women of Child-bearing Age

Opioid Risk Tool

Informed Consent for Chronic Opioid Therapy

Dr. Johnson

Controlled Substances Agreement

Dr. Johnson

PRIA New Patient Form & HIPPA Form