Before Your Visit
Patient Forms & Resources
Helpful Patient Information
Welcome to Axia Interventional Spine & Pain. To help make your visit as smooth as possible, this page includes helpful patient resources, forms, and important information to review before your appointment. We are committed to providing thoughtful, evidence-based care and want you to feel informed, prepared, and supported throughout your experience with our team.
Click below to view the following information:
Patient Forms
Streamline your visit by downloading, printing out, and completing our required patient forms in advance, ensuring a quick and seamless experience when you arrive at our office. Please call our office at (616) 282-2377 with any questions you may still have about your forms.
Currently Participating Insurance Plans
Axia Interventional Spine & Pain is currently contracted with the following insurance plans. We are continuing to expand our participation, so this list may change as additional contracts are finalized.
If you do not see your insurance listed below, please contact our office and we will be happy to help verify your coverage.
If you have questions regarding your specific benefits, copays, deductibles, or referral requirements, please contact your insurance provider directly using the number listed on the back of your insurance card.
Pay Your Bill Online
Pay online through our billing portal, or call (616) 315-0120. Please remember that only a provider can answer specific medical questions. Our billing support staff are happy to assist you with the non-medical inquiries
Requesting Medical Records
To obtain records, submit a signed and dated Authorization for Use or Disclosure of Protected Health Information to the clinic. The form may be obtained at the clinic, or you can follow the link below to submit an online authorization form via MediCopy’s website (preferred and fastest way), our HIPAA Business Associate.
Some requests are processed at no charge to the requesting party (such as referrals for continuing care). Other requests are charged a fee, in accordance with state statutes. MediCopy bills requesting entities such as attorneys, insurance companies, etc. directly; patients are not billed for this work.
MediCopy processes the requests for the requested records. Please allow 7 business days after your forms have been accepted by Axia Interventional Spine & Pain for processing and delivery of the invoice.
