Elliot Pain Management and Interventional Spine Center: Patient Information

Elliot Pain Management and Interventional Spine Center: Patient Information

Patient Information

Our practice participates with most insurance companies. We can provide you with a list of participating insurance entities at your appointment. You may also click here for a complete listing of the insurances accepted at Elliot Physician Network offices.

To schedule, cancel, or reschedule an appointment, please call our office at 603-663-6730 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up. 

Insurance Card, including your policy number and/or Medicare/Medicaid card.

Co-payment is expected when you check in. For your convenience, we accept checks, cash, Visa, Mastercard, Discover, and American Express.

Prescription Medication(s) in their original bottles or a list of all medications, including over-the-counter medications, vitamins, and supplements, and the amounts you take.

To refill a prescription, please call our office at 603-663-6730 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

Please allow 48 hours to refill medications.

To request a referral, please call our office at 603-663-6730 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

Important Documents

If you would like a copy of your medical record, please download and complete the form below. Completed forms can be mailed, faxed, or brought back to our office.

Medical Records Release Form 

Contact Us

Please contact us for questions about services available at Elliot Pain Management and Interventional Spine Center.