PPS Regenerative Institute

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Call Now: (847) 519-4701

Our Team
- - Our Physicians
  - Amish Patel
  - Sunavo Dasgupta
  - Asma Asif
  - Omar Said
- - Physician Extenders
  - Rachel Eldersveld
  - Courtney Hanson
  - Rhiannon Mazenis
- - Interventional Pain Management
  - All of our friendly and proficient Chicago pain physicians have been trained in interventional pain medicine from the most prestigious pain programs in the nation. Some of the universities are New York Presbyterian Hospital/University, Northwestern University, and Hospital for Special Surgery, University of Pennsylvania, Cleveland Clinic, Memorial Sloan-Kettering Cancer Center, Hospital of Columbia and Cornell and the University of Michigan.
Services
- - As the top pain management clinics in Chicago, Premier Pain & Spine treats all types of conditions. This includes ones that are either basic or complex, acute or chronic. With over twenty five treatment options available, pain relief is typically achieved.
Locations
News & Insights
- - INSIGHTS
  - Awards
  - Testimonials
  - Videos
- - Education & Resources Center
  - Have a look at some of the different pain conditions we treat and learn more about our treatment options available. Allow our in-depth videos to walk you through the ins- and-outs of effective pain control.
Contact
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Patient Forms

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CLICK TO DOWNLOAD EACH FORM IN PDF FORMAT, PRINT, COMPLETE, & PLEASE BRING WITH YOU TO YOUR APPOINTMENT

New Patient Forms

PPS New Patient Questionnaire

PPS Review of Symptoms

PPS Consents

PPS SOAPP Screen

Work Comp & Auto Patients Please Also Complete the Forms Below

PPS Worker’s Compensation, Auto Injury or Personal Injury

PPS Physicians Lien – Auto or PI

PPS Letter of Protection – WC

Refer a Patient

Patient Referral Form

Medical Records Release Forms

Medical Records Release Form

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