{"id":18153,"date":"2023-05-19T15:42:15","date_gmt":"2023-05-19T19:42:15","guid":{"rendered":"https:\/\/nypainfree.com\/staging\/8046\/?page_id=18153"},"modified":"2024-07-11T15:04:23","modified_gmt":"2024-07-11T19:04:23","slug":"appointment","status":"publish","type":"page","link":"https:\/\/nypainfree.com\/staging\/8046\/appointment\/","title":{"rendered":"Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"18153\" class=\"elementor elementor-18153\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34d87cc dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"34d87cc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c6c3580 dsvy-bg-color-over-image\" data-id=\"c6c3580\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f0bf85 dsvy-align-center elementor-widget elementor-widget-dsvy_heading\" data-id=\"3f0bf85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"dsvy-heading-subheading center-align  dsvy-subtitle-style1\"><h2 class=\"dsvy-element-title\">\r\n\t\t\t\r\n\t\t\t\tGet in touch with New York Pain Management.\r\n\t\t\t\r\n\t\t\t<\/h2>\r\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2c8e2ca dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"2c8e2ca\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-d787861 dsvy-bg-color-over-image\" data-id=\"d787861\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-a98cfae dsvy-bg-color-over-image\" data-id=\"a98cfae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c08f99 elementor-widget elementor-widget-text-editor\" data-id=\"6c08f99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Don\u2019t wait any longer, send us your Appointment Request today. Please fill out the short contact form below. Be sure to hit the Submit button after completing the form. We look forward to hearing from you and will be in touch soon.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f2b7be elementor-widget elementor-widget-wpforms\" data-id=\"0f2b7be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-17713\"><form id=\"wpforms-form-17713\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"17713\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/staging\/8046\/wp-json\/wp\/v2\/pages\/18153\" data-token=\"75bb122765b3397102dfba9108f57661\" data-token-time=\"1780974009\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-17713-field_1-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Are you a new or returning patient?<\/legend><ul id=\"wpforms-17713-field_1\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17713-field_1_1\" name=\"wpforms[fields][1]\" value=\"New\" aria-errormessage=\"wpforms-17713-field_1_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17713-field_1_1\">New<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17713-field_1_2\" name=\"wpforms[fields][1]\" value=\"Returning\" aria-errormessage=\"wpforms-17713-field_1_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17713-field_1_2\">Returning<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17713-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-17713-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-17713-field_2-error\" required><label for=\"wpforms-17713-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-17713-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-17713-field_2-last-error\" required><label for=\"wpforms-17713-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-17713-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-17713-field_3\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-17713-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" placeholder=\"email@domain.com\" spellcheck=\"false\" aria-errormessage=\"wpforms-17713-field_3-error\" required><\/div><div id=\"wpforms-17713-field_4-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-17713-field_4\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17713-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" placeholder=\"(888) 888-8888\" step=\"any\" aria-errormessage=\"wpforms-17713-field_4-error\" required><\/div><div id=\"wpforms-17713-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-17713-field_9\">Reason for contacting NYPM <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-17713-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-17713-field_9-error\" required><\/textarea><\/div><div id=\"wpforms-17713-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Checkboxes <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17713-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-17713-field_7_1\" name=\"wpforms[fields][7][]\" value=\" I have read and agreed to the           &lt;a  href=&quot;\/&quot;&gt;             Privacy Policy           &lt;\/a&gt;           and           &lt;a  href=&quot;\/&quot;&gt;             Terms of Use           &lt;\/a&gt;           and I am at least 13 and have the authority to make this appointment.\" aria-errormessage=\"wpforms-17713-field_7_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17713-field_7_1\">I have read and agreed to the           <a href=\"\/\">             Privacy Policy           <\/a>           and           <a href=\"\/\">             Terms of Use           <\/a>           and I am at least 13 and have the authority to make this appointment.<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"17713\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/nypainfree.com\/staging\/8046\/wp-json\/wp\/v2\/pages\/18153\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-17713\" class=\"wpforms-submit submit-button-form\" data-alt-text=\"Sending...\" data-submit-text=\"Submit Appointment\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit Appointment<\/button><img decoding=\"async\" src=\"https:\/\/nypainfree.com\/staging\/8046\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d5fc5a elementor-widget elementor-widget-text-editor\" data-id=\"7d5fc5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tOnly patient inquiries are accepted via this website. For all other inquiries and information, please call our main number.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-122a613 dsvy-bg-color-over-image\" data-id=\"122a613\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20e7f1e dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"20e7f1e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-da3438f dsvy-bg-color-over-image\" data-id=\"da3438f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-832c023 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"832c023\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5be78b1 dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"5be78b1\" data-element_type=\"section\" data-e-type=\"section\" id=\"patient-forms\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-132362a dsvy-bg-color-over-image\" data-id=\"132362a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a06cb3d dsvy-align-center elementor-widget elementor-widget-dsvy_heading\" data-id=\"a06cb3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"dsvy-heading-subheading center-align  dsvy-subtitle-style1\"><h2 class=\"dsvy-element-title\">\r\n\t\t\t\r\n\t\t\t\tPatient Forms\r\n\t\t\t\r\n\t\t\t<\/h2>\r\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b0ec97 elementor-widget elementor-widget-text-editor\" data-id=\"2b0ec97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Once you have set up an appointment with NY Pain Management, you will need to complete our New Patient Paperwork. You can now get a head start by completing your initial paperwork at home. For your convenience, our required New Patient forms are available online in Adobe\u00ae PDF format. Once you download the forms from the link below, you have the following options:<\/p><ul><li>Fax: You can complete the forms and then fax to\u00a0518-371-0366.<\/li><li>Hand Deliver: Simply bring the completed forms with you for your visit.<\/li><\/ul><p>Having all of your forms completed before your first visit allows the office to remain on schedule as a courtesy to you and our other patients.<\/p><p><strong>PLEASE NOTE:<\/strong> If you are seeing us in relation to a Motor Vehicle Accident or Workers\u2019 Compensation, please download and complete the New Patient Forms AND the Motor Vehicle Accident form or the Workers\u2019 Compensation form.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-418d488 dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"418d488\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-f0a761b dsvy-bg-color-over-image\" data-id=\"f0a761b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20f6dfb elementor-widget elementor-widget-dsvy_icon_heading\" data-id=\"20f6dfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_icon_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dsvy-ihbox dsvy-ihbox-style-3\"><div class=\"dsvy-ihbox-box d-flex\">\r\n\t<div class=\"dsvy-ihbox-icon\"><div class=\"dsvy-ihbox-icon-wrapper\"><i class=\"fab fa-wpforms\"><\/i><\/div><\/div>\t<div class=\"dsvy-ihbox-contents\">\r\n\t\t\t\t<h2 class=\"dsvy-element-title\">\r\n\t\t\t\t\t<a href=\"https:\/\/nypainfree.com\/wp-content\/uploads\/2023\/08\/NYPM-2023-NewPatientMaster-FormWithQuestionnaire.pdf\" target=\"_blank\"><span>\r\n\t\t\t\t\t\tNew Patient Packet\r\n\t\t\t\t\t<\/span><\/a>\r\n\t\t\t\t\t<\/h2>\r\n\t\t\t\t\t\t\t\t<div class=\"dsvy-heading-desc\">Please print and complete this packet prior to your visit to our office.<\/div>\t\t\t<\/div><!-- .dsvy-ihbox-contents -->\r\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5cb138f dsvy-bg-color-over-image\" data-id=\"5cb138f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a1e2ebe elementor-widget elementor-widget-dsvy_icon_heading\" data-id=\"a1e2ebe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_icon_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dsvy-ihbox dsvy-ihbox-style-3\"><div class=\"dsvy-ihbox-box d-flex\">\r\n\t<div class=\"dsvy-ihbox-icon\"><div class=\"dsvy-ihbox-icon-wrapper\"><i class=\"fab fa-wpforms\"><\/i><\/div><\/div>\t<div class=\"dsvy-ihbox-contents\">\r\n\t\t\t\t<h2 class=\"dsvy-element-title\">\r\n\t\t\t\t\t<a href=\"https:\/\/nypainfree.com\/wp-content\/uploads\/2023\/07\/NYPM-2023-NF-Form.pdf\" target=\"_blank\"><span>\r\n\t\t\t\t\t\tNo Fault Packet\r\n\t\t\t\t\t<\/span><\/a>\r\n\t\t\t\t\t<\/h2>\r\n\t\t\t\t\t\t\t\t<div class=\"dsvy-heading-desc\">Please print and complete this form if you are using no fault insurance.<\/div>\t\t\t<\/div><!-- .dsvy-ihbox-contents -->\r\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-f09df86 dsvy-bg-color-over-image\" data-id=\"f09df86\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f3e5703 elementor-widget elementor-widget-dsvy_icon_heading\" data-id=\"f3e5703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_icon_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dsvy-ihbox dsvy-ihbox-style-3\"><div class=\"dsvy-ihbox-box d-flex\">\r\n\t<div class=\"dsvy-ihbox-icon\"><div class=\"dsvy-ihbox-icon-wrapper\"><i class=\"fab fa-wpforms\"><\/i><\/div><\/div>\t<div class=\"dsvy-ihbox-contents\">\r\n\t\t\t\t<h2 class=\"dsvy-element-title\">\r\n\t\t\t\t\t<a href=\"https:\/\/nypainfree.com\/wp-content\/uploads\/2023\/08\/NYPM-2023-HIPPA-Form2.pdf\" target=\"_blank\"><span>\r\n\t\t\t\t\t\tHIPAA\r\n\t\t\t\t\t<\/span><\/a>\r\n\t\t\t\t\t<\/h2>\r\n\t\t\t\t\t\t\t\t<div class=\"dsvy-heading-desc\">New York Pain Management \u2013 Notice of Privacy Practices<\/div>\t\t\t<\/div><!-- .dsvy-ihbox-contents -->\r\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7c0c136 dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"7c0c136\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-25115b0 dsvy-bg-color-over-image\" data-id=\"25115b0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dda24e3 elementor-widget elementor-widget-dsvy_icon_heading\" data-id=\"dda24e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_icon_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dsvy-ihbox dsvy-ihbox-style-3\"><div class=\"dsvy-ihbox-box d-flex\">\r\n\t<div class=\"dsvy-ihbox-icon\"><div class=\"dsvy-ihbox-icon-wrapper\"><i class=\"fab fa-wpforms\"><\/i><\/div><\/div>\t<div class=\"dsvy-ihbox-contents\">\r\n\t\t\t\t<h2 class=\"dsvy-element-title\">\r\n\t\t\t\t\t<a href=\"https:\/\/nypainfree.com\/wp-content\/uploads\/2023\/07\/NYPM-2023-WC-Form.pdf\" target=\"_blank\"><span>\r\n\t\t\t\t\t\tWorkers\u2019 Compensation Form\r\n\t\t\t\t\t<\/span><\/a>\r\n\t\t\t\t\t<\/h2>\r\n\t\t\t\t\t\t\t\t<div class=\"dsvy-heading-desc\">If you are seeing us in relation to Workers\u2019 Compensation, please use this form along with the New Patient Form.<\/div>\t\t\t<\/div><!-- .dsvy-ihbox-contents -->\r\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7af11cc dsvy-bg-color-over-image\" data-id=\"7af11cc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61d5286 elementor-widget elementor-widget-dsvy_icon_heading\" data-id=\"61d5286\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_icon_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dsvy-ihbox dsvy-ihbox-style-3\"><div class=\"dsvy-ihbox-box d-flex\">\r\n\t<div class=\"dsvy-ihbox-icon\"><div class=\"dsvy-ihbox-icon-wrapper\"><i class=\"fab fa-wpforms\"><\/i><\/div><\/div>\t<div class=\"dsvy-ihbox-contents\">\r\n\t\t\t\t<h2 class=\"dsvy-element-title\">\r\n\t\t\t\t\t<a href=\"https:\/\/nypainfree.com\/wp-content\/uploads\/2023\/07\/NYPM-2023-MedicalRecordsRelease-Form.pdf\" target=\"_blank\"><span>\r\n\t\t\t\t\t\tMedical Record Release Form\r\n\t\t\t\t\t<\/span><\/a>\r\n\t\t\t\t\t<\/h2>\r\n\t\t\t\t\t\t\t\t<div class=\"dsvy-heading-desc\">Use this to release your medical records from New York Pain Management to another party as necessary.<\/div>\t\t\t<\/div><!-- .dsvy-ihbox-contents -->\r\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-c78d606 elementor-widget elementor-widget-text-editor\" data-id=\"c78d606\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you have any questions, please call us at\u00a0<strong>518-371-0777<\/strong>.<\/p><p>Thank you for your cooperation and we look forward to seeing you in our office.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-42b3359 dsvy-bg-color-yes dsvy-elementor-bg-color-light elementor-section-full_width elementor-section-stretched dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"42b3359\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-38d9cdb dsvy-bg-color-over-image\" data-id=\"38d9cdb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bd147b3 dsvy-bg-color-yes dsvy-elementor-bg-color-light dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"bd147b3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f2b3a1d dsvy-bg-color-over-image\" data-id=\"f2b3a1d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f0a960 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"5f0a960\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<i aria-hidden=\"true\" class=\"mdi mdi-check-circle\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e8639e5 dsvy-bg-color-over-image\" data-id=\"e8639e5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f04e6d2 elementor-widget elementor-widget-heading\" data-id=\"f04e6d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Things you should bring to your first appointment:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5c9996 elementor-widget elementor-widget-text-editor\" data-id=\"e5c9996\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"tip inset-right width35\">Please arrive 30 minutes prior to your appointment so we can prepare your chart.<\/div><ul><li>Insurance card<\/li><li>Picture ID<\/li><li>Co\/pay co\/insurance<\/li><li>Films (i.e. MRI, XRAYS) The actual film, not just the report<\/li><li>You should have your RECENT X-RAYS AND \/OR MRI\u2019S FOR THE DOCTOR TO VIEW.<\/li><li>All workers compensation and no-fault patients should have ALL their case and policy numbers and the name and phone number of a contact person. You must also bring in your private insurance information to be placed on file and a referral if applicable.<\/li><li>Please arrive on time. For confirmation, we will call you 24-48 hrs. prior to your appt. If you are not available, but have an answering machine, we will leave a message. If we cannot contact you for any reason, i.e. your phone is disconnected; we will cancel your appt. and fill that time with another patient.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38bd18d3 elementor-section-content-middle dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"38bd18d3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-119e8e4 dsvy-bg-color-over-image\" data-id=\"119e8e4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1934222c elementor-widget elementor-widget-image\" data-id=\"1934222c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"847\" height=\"486\" src=\"https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-1024x588.png\" class=\"attachment-large size-large wp-image-17477\" alt=\"NYPM logo\" srcset=\"https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-1024x588.png 1024w, https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-300x172.png 300w, https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-768x441.png 768w, https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-1536x882.png 1536w, https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-2048x1175.png 2048w, https:\/\/nypainfree.com\/staging\/8046\/wp-content\/uploads\/2023\/05\/NYPM-LogoRefresh-PrimaryLogos_FullColor-770x442.png 770w\" sizes=\"(max-width: 847px) 100vw, 847px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3ce6e2be dsvy-bg-color-over-image\" data-id=\"3ce6e2be\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32d2fd16 elementor-widget elementor-widget-heading\" data-id=\"32d2fd16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How Can We Help You?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-178b8dad dsvy-bg-color-over-image\" data-id=\"178b8dad\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f93377d dsvy-btn-shape-round elementor-align-center dsvy-btn-color-globalcolor dsvy-btn-style-flat elementor-widget elementor-widget-button\" data-id=\"3f93377d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/appointment\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Request Appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bfe9dfb dsvy-bg-color-yes dsvy-elementor-bg-color-secondary elementor-section-full_width elementor-section-content-middle elementor-section-stretched dsvy-col-stretched-none dsvy-bg-color-over-image elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"bfe9dfb\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fde935 dsvy-bg-color-over-image\" data-id=\"8fde935\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9e41c47 dsvy-align-center elementor-widget elementor-widget-dsvy_heading\" data-id=\"9e41c47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"dsvy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"dsvy-heading-subheading center-align  dsvy-subtitle-style1\"><h2 class=\"dsvy-element-title\">\r\n\t\t\t\r\n\t\t\t\tLeave us a review\r\n\t\t\t\r\n\t\t\t<\/h2>\r\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fcaf31b dsvy-btn-shape-round elementor-widget__width-auto dsvy-btn-color-globalcolor dsvy-btn-style-flat elementor-widget elementor-widget-button\" data-id=\"fcaf31b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/g.page\/r\/CVgYBpqBjYU3EAI\/review\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">For Clifton Park Location<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cc0d6c dsvy-btn-shape-round elementor-align-center elementor-widget__width-auto dsvy-btn-color-globalcolor dsvy-btn-style-flat elementor-widget elementor-widget-button\" data-id=\"3cc0d6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/g.page\/r\/CXHnrad_1OpgEAI\/review\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">For Queensbury Location<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Get in touch with New York Pain Management. Don\u2019t wait any longer, send us your Appointment Request today. Please fill out the short contact form below. Be sure to hit the Submit button after completing the form. We look forward to hearing from you and will be in touch soon. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Are you a new or returning patient? New Returning Name * FirstLast Email *Phone *Reason for contacting NYPM * Checkboxes * I have read and agreed to the Privacy Policy and Terms of Use and I am at least 13 and have the authority to make this appointment. Submit Appointment Only patient inquiries are accepted via this website. For all other inquiries and information, please call our main number. Patient Forms Once you have set up an appointment with NY Pain Management, you will need to complete our New Patient Paperwork. You can now get a head start by completing your initial paperwork at home. For your convenience, our required New Patient forms are available online in Adobe\u00ae PDF format. Once you download the forms from the link below, you have the following options: Fax: You can complete the forms and then fax to\u00a0518-371-0366. Hand Deliver: Simply bring the completed forms with you for your visit. Having all of your forms completed before your first visit allows the office to remain on schedule as a courtesy to you and our other patients. PLEASE NOTE: If you are seeing us in relation to a Motor Vehicle Accident or Workers\u2019 Compensation, please download and complete the New Patient Forms AND the Motor Vehicle Accident form or the Workers\u2019 Compensation form. New Patient Packet Please print and complete this packet prior to your visit to our office. No Fault Packet Please print and complete this form if you are using no fault insurance. HIPAA New York Pain Management \u2013 Notice of Privacy Practices Workers\u2019 Compensation Form If you are seeing us in relation to Workers\u2019 Compensation, please use this form along with the New Patient Form. Medical Record Release Form Use this to release your medical records from New York Pain Management to another party as necessary. If you have any questions, please call us at\u00a0518-371-0777. Thank you for your cooperation and we look forward to seeing you in our office. Things you should bring to your first appointment: Please arrive 30 minutes prior to your appointment so we can prepare your chart. Insurance card Picture ID Co\/pay co\/insurance Films (i.e. MRI, XRAYS) The actual film, not just the report You should have your RECENT X-RAYS AND \/OR MRI\u2019S FOR THE DOCTOR TO VIEW. All workers compensation and no-fault patients should have ALL their case and policy numbers and the name and phone number of a contact person. You must also bring in your private insurance information to be placed on file and a referral if applicable. Please arrive on time. For confirmation, we will call you 24-48 hrs. prior to your appt. If you are not available, but have an answering machine, we will leave a message. If we cannot contact you for any reason, i.e. your phone is disconnected; we will cancel your appt. and fill that time with another patient. How Can We Help You? Request Appointment Leave us a review For Clifton Park Location For Queensbury Location<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"nf_dc_page":"","footnotes":""},"class_list":["post-18153","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Appointment - NYPM - Staging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nypainfree.com\/staging\/8046\/appointment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Appointment - NYPM - Staging\" \/>\n<meta property=\"og:description\" content=\"Get in touch with New York Pain Management. Don\u2019t wait any longer, send us your Appointment Request today. Please fill out the short contact form below. Be sure to hit the Submit button after completing the form. We look forward to hearing from you and will be in touch soon. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Are you a new or returning patient? New Returning Name * FirstLast Email *Phone *Reason for contacting NYPM * Checkboxes * I have read and agreed to the Privacy Policy and Terms of Use and I am at least 13 and have the authority to make this appointment. Submit Appointment Only patient inquiries are accepted via this website. For all other inquiries and information, please call our main number. Patient Forms Once you have set up an appointment with NY Pain Management, you will need to complete our New Patient Paperwork. You can now get a head start by completing your initial paperwork at home. For your convenience, our required New Patient forms are available online in Adobe\u00ae PDF format. Once you download the forms from the link below, you have the following options: Fax: You can complete the forms and then fax to\u00a0518-371-0366. Hand Deliver: Simply bring the completed forms with you for your visit. Having all of your forms completed before your first visit allows the office to remain on schedule as a courtesy to you and our other patients. PLEASE NOTE: If you are seeing us in relation to a Motor Vehicle Accident or Workers\u2019 Compensation, please download and complete the New Patient Forms AND the Motor Vehicle Accident form or the Workers\u2019 Compensation form. New Patient Packet Please print and complete this packet prior to your visit to our office. No Fault Packet Please print and complete this form if you are using no fault insurance. HIPAA New York Pain Management \u2013 Notice of Privacy Practices Workers\u2019 Compensation Form If you are seeing us in relation to Workers\u2019 Compensation, please use this form along with the New Patient Form. Medical Record Release Form Use this to release your medical records from New York Pain Management to another party as necessary. If you have any questions, please call us at\u00a0518-371-0777. Thank you for your cooperation and we look forward to seeing you in our office. Things you should bring to your first appointment: Please arrive 30 minutes prior to your appointment so we can prepare your chart. Insurance card Picture ID Co\/pay co\/insurance Films (i.e. MRI, XRAYS) The actual film, not just the report You should have your RECENT X-RAYS AND \/OR MRI\u2019S FOR THE DOCTOR TO VIEW. All workers compensation and no-fault patients should have ALL their case and policy numbers and the name and phone number of a contact person. You must also bring in your private insurance information to be placed on file and a referral if applicable. Please arrive on time. For confirmation, we will call you 24-48 hrs. prior to your appt. If you are not available, but have an answering machine, we will leave a message. If we cannot contact you for any reason, i.e. your phone is disconnected; we will cancel your appt. and fill that time with another patient. How Can We Help You? Request Appointment Leave us a review For Clifton Park Location For Queensbury Location\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nypainfree.com\/staging\/8046\/appointment\/\" \/>\n<meta property=\"og:site_name\" content=\"NYPM - Staging\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/nypainfree\" \/>\n<meta property=\"article:modified_time\" content=\"2024-07-11T19:04:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/nypainfree.com\/staging\/8046\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/\",\"url\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/\",\"name\":\"Appointment - NYPM - Staging\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/wp-content\\\/plugins\\\/wpforms-lite\\\/assets\\\/images\\\/submit-spin.svg\",\"datePublished\":\"2023-05-19T19:42:15+00:00\",\"dateModified\":\"2024-07-11T19:04:23+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/#primaryimage\",\"url\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/wp-content\\\/plugins\\\/wpforms-lite\\\/assets\\\/images\\\/submit-spin.svg\",\"contentUrl\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/wp-content\\\/plugins\\\/wpforms-lite\\\/assets\\\/images\\\/submit-spin.svg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/appointment\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Appointment\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#website\",\"url\":\"https:\\\/\\\/nypainfree.com\\\/\",\"name\":\"NYPM - Staging\",\"description\":\"New York Pain Management\",\"publisher\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/nypainfree.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#organization\",\"name\":\"New York Pain Management\",\"url\":\"https:\\\/\\\/nypainfree.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/wp-content\\\/uploads\\\/2023\\\/06\\\/cropped-nypm-favicon.jpg\",\"contentUrl\":\"https:\\\/\\\/nypainfree.com\\\/staging\\\/8046\\\/wp-content\\\/uploads\\\/2023\\\/06\\\/cropped-nypm-favicon.jpg\",\"width\":512,\"height\":512,\"caption\":\"New York Pain Management\"},\"image\":{\"@id\":\"https:\\\/\\\/nypainfree.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/nypainfree\",\"https:\\\/\\\/www.instagram.com\\\/nypainfree\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Appointment - NYPM - Staging","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nypainfree.com\/staging\/8046\/appointment\/","og_locale":"en_US","og_type":"article","og_title":"Appointment - NYPM - Staging","og_description":"Get in touch with New York Pain Management. Don\u2019t wait any longer, send us your Appointment Request today. Please fill out the short contact form below. Be sure to hit the Submit button after completing the form. We look forward to hearing from you and will be in touch soon. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Are you a new or returning patient? New Returning Name * FirstLast Email *Phone *Reason for contacting NYPM * Checkboxes * I have read and agreed to the Privacy Policy and Terms of Use and I am at least 13 and have the authority to make this appointment. Submit Appointment Only patient inquiries are accepted via this website. For all other inquiries and information, please call our main number. Patient Forms Once you have set up an appointment with NY Pain Management, you will need to complete our New Patient Paperwork. You can now get a head start by completing your initial paperwork at home. For your convenience, our required New Patient forms are available online in Adobe\u00ae PDF format. Once you download the forms from the link below, you have the following options: Fax: You can complete the forms and then fax to\u00a0518-371-0366. Hand Deliver: Simply bring the completed forms with you for your visit. Having all of your forms completed before your first visit allows the office to remain on schedule as a courtesy to you and our other patients. PLEASE NOTE: If you are seeing us in relation to a Motor Vehicle Accident or Workers\u2019 Compensation, please download and complete the New Patient Forms AND the Motor Vehicle Accident form or the Workers\u2019 Compensation form. New Patient Packet Please print and complete this packet prior to your visit to our office. No Fault Packet Please print and complete this form if you are using no fault insurance. HIPAA New York Pain Management \u2013 Notice of Privacy Practices Workers\u2019 Compensation Form If you are seeing us in relation to Workers\u2019 Compensation, please use this form along with the New Patient Form. Medical Record Release Form Use this to release your medical records from New York Pain Management to another party as necessary. If you have any questions, please call us at\u00a0518-371-0777. Thank you for your cooperation and we look forward to seeing you in our office. Things you should bring to your first appointment: Please arrive 30 minutes prior to your appointment so we can prepare your chart. Insurance card Picture ID Co\/pay co\/insurance Films (i.e. MRI, XRAYS) The actual film, not just the report You should have your RECENT X-RAYS AND \/OR MRI\u2019S FOR THE DOCTOR TO VIEW. All workers compensation and no-fault patients should have ALL their case and policy numbers and the name and phone number of a contact person. 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