Zion Pain Management

New Patient information

Welcome and thank you for choosing Zion Pain Management Center for the treatment of your pain condition. We look forward to meeting you and sincerely hope that our medical staff and services will be of great benefit to you in your search for a better quality of life. Please bring your completed questionnaire with you when you come for your appointment as well as any diagnostics like Xrays and MRIs that relate to your condition. Also, because we try to see our patients on time, please understand that if you arrive more than fifteen minutes late for your appointment you will have to be rescheduled.

• PT Paperwork Front Page- PDF 47kb
• Patient Records Release Form - PDF 13kb
• Patient Questionnaire - PDF 350kb *Required
• Patient Medical Service Agreement - PDF 12kb *Required
• Payment Policy - PDF 21kb *Required

CONTRACTED INSURANCES WE CURRENTLY ACCEPT:

Medicare
Blue Cross Blue Shield of Utah
IHC
PEHP
Educators
P5
United Healthcare
Altius
DMBA
PPO USA network
Beechstreet network

We also accept:
Tricare

WE ARE NOT MEDICAID PROVIDERS

If there are any questions regarding our participation with your particular insurance and it is not listed above, please contact your insurance company for further information or contact our billing office at 435-688-1511.