Patient Appointment

Requesting an Appointment for an Evaluation

If you are a new patient and would like to be seen for an evaluation, we need the following information from your primary care provider or other treating physician:

  • A written request for an evaluation
  • Include patient's name and contact information
  • Pertinent medical records related to the pain condition

The above information should be faxed to our office by the referring provider at 410-448-7150. Once we receive the above information, we will call to make the appointment.

If you would like to speak directly to our New Patient Coordinator, please call 410-448-6836, or email us at

Assessment Form

Prior to your first patient appointment, please download and complete the Initial Pain Evaluation Questionnaire and bring it with you to your appointment.

For more information or to make an appointment, call the University of Maryland Pain Management Center at 410-448-6824 or email us at