Let’s Get to the Point of Pain Relief.

Why clients choose us…

Treating Patients, Relieving Pain

Independent Practice

Patient Priority

Successful Results

New Patient Form

Patient Name*
First Last
Date of Birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Insurance*
Member ID*
Where is Your Pain Located?
Are you on any prescription pain medications?
- Yes
- No
If yes, what meds are you on?
Who prescribed your pain medication?
Have you ever been treated at a Pain Management Clinic?
- Yes
- No
If yes, with who and when?
Have you had an MRI done on your spine?
- Yes
- No
If yes, when, and where was it done?
Have you ever been treated with an injection in your neck or back?
- Yes
- No
If yes, when was your last injection?

I’ve been very satisfied with Dr. Gandhi’s work for over 15 years. I trust him with my pain treatment and my daughter’s. He knows me and knows exactly what I need.

I have been a patient of the practice for multiple years. When I first visited, I was impressed by how business was conducted. Dr. Pleasant and Dr. Duralde treated me with high priority, and I felt comfortable that they were doing the best to treat my pain.

Under the PCA care I have been able to manage the levels and persistence of pain so I can: sleep better, travel, and resume many of the daily activities of life with family that had previously been impossible. Dr. Duralde and the staff are knowledgeable, caring, capable and will listen to your specific situation as they have mine. My life has definitely improved because of PCA.

If it weren’t for Dr. Duralde, I would not be walking. He found the solution to my hip pain that hurt me for years and had me in a wheelchair. Due to his extra care, I am able to walk.

Let’s Get to the Point of Pain Relief.

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