SXM   SYMPTOM MEDICINE

Pain Medicine, Palliative Care, Anesthesia


2030 north pacific ave., suite f, santa cruz, ca 95060

tel. 888.796.6331  fax 888.796.6330

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FOR PROVIDERS
        Medical Services
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FOR PATIENTS

        Become a Patient

        New Patient

        Current Patient

        Forms & Contracts

ADMINISTRATION

         Clinic Policies & Terms

         Finances & Insurance

         Patient Information    

         Make a Payment

RESOURCES

        Education & Library

        Patient Support

        Concierge Services

       

Patients will be required to read Clinic Policies and give an electronic signature to obtain any forms or reserve an appointment. This  website is not HIPPA secure; and thus, cannot accept or exchange ANY sensitive information or private data.

BECOME A PATIENT

Pain medicine, palliative care, anesthesia and hospice are complex.  A comprehensive picture of your medical history, current medical condition, and understanding of clinic policies are important before commencing your care.  It is a three step process to see a physician.  Please, email, visit  or call our clinic for any additional information


To ensure that you receive the appropriate and well deserved care,  complete the following steps:

1.  Ask your physician to complete a referral form and obtain pre-authorization from your insurance company.

2.  Complete the New Patient Registration form, obtain your medical records, sign a Release of Medical Information, and read the Agreement for Clinic Participation.

3.  Once this information is received,  insurance pre-authorization is done, and your ability to pay is confirmed, you can start the steps for a “New Patient”


Forms

  1.     SXM CLINIC PARTICIPATION

  2.     SxM PATIENT REGISTRATION

  3.     SxM RELEASE OF INFORMATION

  4.     SxM CONTRACTED INSURANCE COMPANIES

  5.     SxM CONSULTATION REFERRAL FORM