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(512) 467-PAIN (7246)
(512) 467-7246

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  • What Makes Us Different
    • Our Doctors:
      • Dr. S. Matthew Schocket
      • Dr. Raimy Amasha
      • Dr. Neal Blauzvern
      • Dr. James M. Brent
      • Dr. Jonathan Church
      • Dr. Iden Cowan
      • Dr. Anjuli Desai
      • Dr. Renee Doll
      • Dr. Richard Lingreen
      • Dr. Dwight E. Mosley
      • Kimberly Schocket, PhD
      • View All Doctors
    • The CPI Difference:
      • Our Medical Team & Support Staff
      • Our Approach
      • Patient Success Stories
  • Conditions & Treatments
    • Conditions by Body Part:
      • head pain iconHead
      • neck pain iconNeck
      • shoulder pain iconShoulder
      • elbow pain iconElbow
      • hand wrist and fingers pain iconForearm, Wrist, & Hand
      • thoracic pain iconThoracic
      • abdomen pain iconAbdomen
      • back pain iconBack
      • hip and thigh pain iconHip & Thigh
      • knee pain iconKnee
      • foot pain iconFeet & Ankles
      • full body pain iconWhole Body
      • View All Conditions
    • Our Specialties:
        • Injections
        • Epidural Steroid Injections
        • Facet Joint Injections
        • Radiofrequency Ablation
        • Spinal Cord Stimulation
        • Platelet Rich Plasma
        • Stem Cell Therapy
        • Kyphoplasty (Vertebroplasty)
        • Lumbar Sympathetic Blocks
        • Sacroiliac Joint Injections
        • Bursa Injections
        • View All Treatments
  • Locations
      • Kentucky:
      • Louisville (East)
      • Louisville (South)
      • Ohio:
      • Columbus
      • Contact Us
      • Texas:
      • Austin (Bee Caves)
      • Austin (North)
      • Austin (South)
      • Georgetown
      • San Marcos
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      • Request for Access to Records
      • Patient Authorization Form
      • Electronic Mail Informed Consent
  • Blog
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New Patient Packets

Please select the new patient packet for the office you are visiting.

Kentucky New Patient Packet

Ohio New Patient Packet

Texas New Patient Packet

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Find an Office Near You

Phone: 512.467.PAIN (7246)

Text: 512.467.7246

Fax: 512.467.7247

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Kentucky Referral Form

Ohio Referral Form

Texas Referral Form

Kentucky Pain Management

3814 Ruckriegel Pkwy. #104
Louisville, KY 40299

6801 Dixie Highway, Suite 135
Louisville, KY 40258

Ohio Pain Management

1509 Stonecreek Drive South
Pickerington, OH 43147

Texas Pain Management

8015 Shoal Creek Blvd. #103
Austin, TX 78757

2500 W. William Cannon Dr., Suite 401
Austin, TX 78745

3944 S RR 620 Building 8, Suite 207
Bee Cave, TX 78738

3613 Williams Dr #802
Georgetown, TX 78628

2005 Medical Parkway, Ste. A
San Marcos, TX 78666

Contact Us

Phone: 512.467.Pain (7246)

Text: 512.467.7246

Fax: 512.467.7247

Patient Portal Log In

For Physicians

Kentucky Referral Form

Ohio Referral Form

Texas Referral Form

Find an Office Near You

Kentucky Pain Management

3814 Ruckriegel Pkwy. #104
Louisville, KY 40299

6801 Dixie Highway, Suite 135
Louisville, KY 40258

Ohio Pain Management

1509 Stonecreek Drive South
Pickerington, OH 43147

Texas Pain Management

8015 Shoal Creek Blvd. #103
Austin, TX 78757

2500 W. William Cannon Dr., Suite 401
Austin, TX 78745

3944 S RR 620 Building 8, Suite 207
Bee Cave, TX 78738

3613 Williams Dr #802
Georgetown, TX 78628

2005 Medical Parkway, Ste. A
San Marcos, TX 78666

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capitol pain institute logo
  • New Patients
  • What Makes Us Different
    • Our Doctors
      • Dr. S. Matthew Schocket
      • Dr. Raimy Amasha
      • Dr. Neal Blauzvern
      • Dr. James M. Brent
      • Dr. Jonathan Church
      • Dr. Iden Cowan
      • Dr. Anjuli Desai
      • Dr. Renee Doll
      • Dr. Richard Lingreen
      • Dr. Dwight E. Mosley
      • Kimberly Schocket, PhD
      • Back
    • The CPI Difference
      • Our Medical Team & Support Staff
      • Our Approach
      • Patient Success Stories
      • Back
    • Back
  • Conditions & Treatments
    • Conditions by Body Part
      • Head
      • Neck
      • Shoulders
      • Elbow
      • Forearm, Wrist & Hand
      • Thoracic
      • Abdomen
      • Back
      • Hip & Thigh
      • Knee
      • Foot & Ankles
      • View All Conditions
      • Back
    • Our Specialties
      • Injections
      • Epidural Steroid Injections
      • Facet Joint Injections
      • Radiofrequency Ablation
      • Spinal Cord Stimulation
      • Platelet Rich Plasma
      • Stem Cell Therapy
      • Kyphoplasty (Vertebroplasty)
      • Lumber Sympathetic Blocks
      • Sacroiliac Joint Injections
      • Bursa Injections
      • View All Treatments
      • Back
    • Back
  • Locations
    • Kentucky
    • Louisville (East)
    • Louisville (South)
    • Ohio
    • Columbus
    • Texas
    • Austin (Bee Caves)
    • Austin (North)
    • Austin (South)
    • Georgetown
    • San Marcos
    • Contact
    • Back
  • Patient Tools
    • New Patient Packets
    • Follow-Up Visit Packet
    • Quit Smoking
    • Advanced Directives
    • Health Inventory
    • Notice of Privacy Practices
    • Request for Access to Records
    • Patient Authorization Form
    • Electronic Mail Informed Consent
    • Back
  • Blog