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New patient appointments





Your initial appointment will be a preliminary appointment with our nurse. The cost of this preliminary examination is $150 payable by all major credit / debit cards and money orders only. (WE DO NOT ACCEPT CASH) This visit with our nurse should take from 30 minutes to  an 1 hour. Our nurse will discuss your current pain condition and will review your submitted items Dr's notes/ summaries, and Mri(s). At this time a frank no nonsense discussion of your medical history as well as other factors affecting your  chronic pain. Remedies, cautions and expectations will also be discussed. Issues impacting your suitability to be in pain management will be discussed.  Do's and don'ts with medications, office visits and smoking cessation will also be discussed. Patients are expected to take responsibility for helping to manage their chronic pain. Weight loss, smoking cessation, and exercise are all tools in helping you manage your chronic pain. Procedures such as trigger point injections and blocks will be explained. Our nurse will go over your signed pain management contract. Pain levels  will be discussed as well as your expectations re pain relief.


If approved to be admitted as a patient and records have been verified the Initial consultation will take place with our physician. Quality care, wellness and pain relief are what we believe, and are always best provided by our board certified Anesthesiologist.  During your initial visit you will have ample time to discuss your pain as well as the treatment alternatives that will best relieve your chronic pain. Medications including narcotic medications are only prescribed, if and at all, if our physician concludes that these medications will be beneficial in achieving pain relief as part of your treatment plan. At no time should any patient believe that an appointment  will result in a prescription of any kind or in any predetermined course of treatment. Out of State patients, patients who are seeing multiple pain doctors / pain clinics, patients with a history of Marchman act Baker act and patients with multiple arrests or any narcotic drug arrest will not  be accepted.



All new patients need to bring to their preliminary appointment :


  • Completed New Patient forms (click  New Patients Forms button in the header above to download ) 

  • A list of all your current medications

  • Information concerning  medications and or treatments that you may have tried in the past

  • A current Florida-issued Id / driver's license or MIlitary Id.

  • Additional Medical records that you think would be helpful in regard to your current condition.

  • Unverified records (records carried by the patient)must be verified before final admittance to the practice.


       if unable to print  forms, forms are available at our office please come 15 minutes early to allow time to have them completed.



What can an approved  new patient expect at their first appointment with our doctor :


  • A urine drug test (UDT)  which will provide objective information to assist in the diagnostic and therapeudic decision.

  • A thorough examination and discussion about your chronic pain, past treatments, and future expectations.

  • a detailed discussion with our doctor concerning treatment modalities. 

  • A course of action / a treatment plan as to how your chronic pain will be managed.

  • If appropriate trigger point injections and blocks may be discussed and  or administered.

  • Prescriptions  / NARCOTIC Prescriptions may or MAY NOT be a part of your treatment plan.

  • Do's and don'ts regarding lifestyle, exercise, smoking, drinking and medications.



321-305-5987, Fax 321-338-2977

© 2023  Rivercoast Anesthesia, P.A.

Mon, Tue  Rockledge

8:00 am - 1:00 pm

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