For Patients


Expect Care Beyond Compare

The staff at Wisconsin Spine and Pain is dedicated to ensuring the best possible outcome for your procedure, and every procedure performed by our physicians. We appreciate the trust you and your physician have placed in the staff at Wisconsin Spine and Pain. We will make every attempt to earn that trust by providing the quality medical care you expect and deserve. We want your visit to be as pleasant as possible. Please feel free to ask questions at any time, and let us know of any special needs you may have.

Patient Forms

To better expedite your registration process, please print off and complete the following packet of forms, and bring them with you on the day of your procedure.

 Patient Registration Package

If you need to print just one of the forms from the packet, please select the appropriate link below:

 Patient Registration

 Patient Referral Form

 Credit Policy

 Patient Record Of Disclosures

Advanced Directives:

Declaration to Physicians (Living Will) Power of Attorney for Health Care If you have difficulty with any of these documents, please contact us and we will send you a packet by mail. If you're interested in learning more about a specific procedure, take a look at our easy-to-understand educational animated procedures.

If you have any questions, please contact us as soon as possible.

Billing and Financial Responsibility


If you don't have health insurance, you automatically receive a 45% discount on your bill for medical services at Wisconsin Spine and Pain. If you have questions or need additional assistance, call 920‐204‐6758.

Please call our center if you have any questions regarding a statement and we will be happy to assist you.

Our Locations

Choose your preferred location