Schedule an Appointment

Hamilton

1103 Westwood Dr. Suite 200
Hamilton, MT 59840

Phone: (406) 363-4209

We look forward to getting you set up for an appointment with one of our providers. To expedite the scheduling process, please complete the following steps:

Watch all Patient Orientation videos
Obtain a Referral and your Medical Records
Answer Pre-appointment Questions and provide your Contact Information
Complete your New Patient Intake Paperwork
Register for MyChart

Step 1: Please watch all six Patient Orientation Videos before completing this form.

Step 2: Referral and Medical Records

We require a referral from a provider for all new patients. This includes sending past medical records, including prior procedures/injection records related to your referral. Please have your referring provider fax your relevant past medical records to 406-329-5697.

Please also have your referring provider complete our referral request form.

Step 3: Answer questions and submit form to be contacted for scheduling

Please answer the questions below. Once you’ve submitted your contact information and sent the new patient paperwork, and our office has received your referral, we will contact you to schedule an appointment.

Montana Spine & Pain emphasizes Behavioral Medicine *

True

False

Studies show that learning how pain works can actually reduce pain. *

True

False

Health coaching, pain-focused psychotherapy and pain education *

True

False

If you are using narcotic or opiate pain medication *

True

False

Narcotic or opiate pain medications are the most common treatment *

True

False

Narcotic or opiate pain medicines are prescribed at your first visit with us. *

True

False

First Name *

Last Name *

Date of Birth *

MM/DD/YY or MM/DD/YYYY

Phone Number *

999-999-9999

Step 4: New Patient Intake Paperwork

Before each new patient visit, we ask patients to complete paperwork about their pain and medical history. This information is very valuable to the providers assessment.

Please complete the paperwork and send back to our office (mail, fax or drop off).

Download New Patient Paperwork

Step 5: Register for MyChart

MyChart is secure, online access to your health care team and medical records. It is how your providers will communicate with you and how we’ll send you information.

OUR MISSION

As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.