About Us
Fadi Delly, MD
Testimonials
Neurology
Neurological Disorders Treated
Headaches
Stroke and Cerebrovascular Disorders
Parkinson’s Disease and Other Movement Disorders
Multiple Sclerosis and Other Demyelinating Diseases
Seizure Disorders
Hereditary and Acquired Neuropathies
Head and Spine Trauma
Muscle Diseases or Myopathies
Pain Management
Pain Conditions Treated
Back and Neck Pain
Spine Arthritis
Degenerative Disc Disease (DDD)
Pinched Nerve
Spine Disc Disease
Sacroiliac Joint Pain
Shoulder Pain
Hip Pain
Knee Pain
Complex Regional Pain Syndrome
Fibromyalgia
Myofacial/Muscle Pain
Peripheral Neuropathy
Cancer Pain
Interventional Pain Therapies
Celiac Plexus block
Ganglion Impar Block
Genicular Nerve Treatments
Hypogastric Plexus Block
Epidural Steroid Injections
Kyphoplasty
Lumbar Sympathetic Block
Medial Branch Blocks
Radiofrequency Ablation/Rhizotomy
Sacroiliac Joint Injections
Joint injections
Spinal Cord Stimulator
Stellate Ganglion Block
Diagnostics
EEG
EMG and NCS
Forms
Contact
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Forms
Doctor forms and requests can be downloaded below.
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Forms
Forms for all patients
If you are a new patient seeing an PNPS doctor, you may be asked to complete the forms below and bring them with you to your appointment.
Consent for Procedures and Diagnostics
Neurodiagnostic and Imaging Form
Notice of Privacy Policy
Pain Catastrophizing Scale Questionnaire
Lab Order Sheets
SOAP Questionnaire
New Patient Intake Forms
Referral Form
Oswestry Low Back Pain Disability Questionnair
Physician-Patient Pain Management Agreement
Rehab Form
