Patient Intake Form.

Please download the PDF below and bring it to your first appointment.

 

Patient Form

To speed your initial appointment and better help us understand your pain conditions, please fill out a Patient Information form.

Form Options


1. Download and print the form, complete the form, and bring the completed form with you on your first visit.’

OR

2. Arrive at least 30 minutes prior to your appointment and we will provide the forms for you to fill out.

 
 

Pain Free Life Centers offers the most experienced and highly qualified laser technicians in the industry. This expertise allows PFLC to operate the most advanced laser technology currently available. The knowledge possessed by our staff benefits our patients on a daily basis. Our exclusive and state-of-the-art therapy program is totally non invasive and has been cleared by the FDA.

To say that the results can be life changing is not an overstatement. If you are dealing with an injury or chronic pain condition, call our office to discuss your specific condition with one of our Wellness Coordinators and see how we can get you on the path to a pain free life.

Get started today!

6585 Rochester Rd. Suite 103
Troy, MI 48085

Hours
Monday–Thursday / 7am - 7pm
Friday / 7am - 5pm

Phone
(248) 879 1100

Email
info@painfreelifecenters.com