Patient Portal Pay Bill Refer a Patient (888) 362-7472

Request an Appointment

Use the form below to request an appointment with Pain & Spine Institute. If you prefer to speak with our team, call us.

Contact Information

Use the form to request an appointment, or call if you prefer to speak with our team. Appointment requests are not confirmed until our team contacts you.

Contact Our Team

Call with scheduling questions. Use the office fax number when sending documents requested by our team.

Phone: (888) 362-7472

Fax: (855) 209-3852

Chicagoland Locations

Pain & Spine Institute currently serves patients across 7 Chicagoland locations.

View All Locations

Appointment Request Form

Complete the form and a member of our team will contact you to discuss scheduling and next steps. Please provide only the information requested by the form.

What Happens Next

01

Send Your Request

Share your contact details and appointment preferences.

02

Talk With Our Team

A team member will contact you to discuss scheduling and next steps.

03

Confirm Your Visit

Your appointment is confirmed after the practice provides the visit details.