Dr. Russell O. Beecher, D.O.           435-613-PAIN (7246)            Price, Utah
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patient forms

New Patient Forms
File Size: 1026 kb
File Type: docx
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Payment Agreement
File Size: 16 kb
File Type: docx
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Before your surgery
File Size: 57 kb
File Type: docx
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Patient Agreement using prescription opioids
File Size: 17 kb
File Type: docx
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Screener and Opioid Assessment for Patients with Pain (SOAPP)®
File Size: 29 kb
File Type: docx
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Prior Injection
File Size: 248 kb
File Type: pdf
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Treatment Plan Using Rx Opioids
File Size: 688 kb
File Type: pdf
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Discharge Instructions Following a Medial Branch Block
File Size: 83 kb
File Type: docx
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Discharge Instructions Following a Radiofrequency Neurotomy
File Size: 83 kb
File Type: docx
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Discharge Steroid Instructions
File Size: 83 kb
File Type: docx
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Discharge Instructions SCS
File Size: 30 kb
File Type: docx
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Content copyright 2017. Eastern Utah Spine & Pain.  230 N Hospital Drive, Ste. 2, Price, UT, 84501 . PH: 435-613-PAIN
  • Home
  • About Dr. Beecher
  • Services
  • Hours / Appointments
  • Patient Forms
  • Contact Us