On this page you'll find New Patient paperwork and information about how our practice works.
You'll see information about our Patient Portal (which is separate from Valley Health portal).
Current Patients will find useful information about our practice, as well. We have a Medical Records Release Form. Staff direct lines are included in the "Current Patient" section below.
New Patient Paperwork includes: Patient instructions, Demographics, Pain Eval. Packet, Patient Portal Access, and Disclosure Notice.
Medical Records Release Form: Gives us permission to release your medical information to a designated entity.
Patient Portal Access Form: Once filled out and given to the VPC, this form will allow you to access our Patient Portal.
Detailed paperwork for a new Patient is required. We may have more forms to sign and date on the day of your appointment.
(540) 450 - 2339
For non-life threatening general questions, scheduling, referrals, and medical records.
Once you receive your new Patient paperwork, be sure to complete it. If completed, arrive 15 minutes early. *Incomplete paperwork, arrival time is 30 minutes early.
All new/returning patients, regardless of insurance, will require a referral from Primary Care, Urgent Care, or the Emergency Department.
Our office prefers 24 hours notice of a cancellation. Please contact us as soon as you know, you will not be present. We will then be able to offer that time to another patient.
Running Late? Call us. More than 15 min. late may result in rescheduling of your appointment.
*If you cannot complete your paperwork, arrive 30 Minutes early in order to complete it or you may have to reschedule.
Our Patient Portal Access, "MyHealthRecord.com" is separate from Valley Health "My Chart" Patient Portal. Our portal is an all-in-one personal health record and patient portal for Valley Pain Consultants. You'll have fast and easy access from any computer, smartphone, or tablet. You can view tests, lab results, send/receive secure messages from the staff, request Rx refills, cancel appointments, and receive email reminders about care, right from your inbox. Phone downloads are free for Android or Apple, use your phone and open your app store and enter: MyHealthRecord.com in the search field.
Pain Management Triage for Current Patients: (540) 450 - 8550
(540) 450 - 2339
For non-life threatening general questions, scheduling, referrals, and medical records
Pain Management Financial Counselor:
(540) 771 - 2297
Medical Assistant for Sharara Kazimi, NP-C:
(540) - 771 - 2307
Medical Assistant for Christy Andrews, NP-C:
(540) - 771 - 2306
Medical Assistants for Dr. Poss & Dr. Ashcraft:
(540) 771 - 2304