Providence Montana Spine and Pain Center
500 W. Broadway, Third Floor
Phone: (406) 327-1670
Fax: (406) 329-5697
Monday-Thursday: 8 a.m.-5 p.m.
Friday: 8 a.m.-4 p.m.
Schedule an appointment at the Montana Spine and Pain Center
We look forward to getting you set up for an appointment with one of our providers. To expedite the scheduling process, please complete the following steps:
- Watch all Patient Orientation videos
- Obtain a Referral and your Medical Records
- Answer Pre-appointment Questions and provide your Contact Information
- Complete your New Patient Intake Paperwork
- Register for MyChart
Step 1: Please watch all six Patient Orientation Videos before completing this form.
Step 2: Referral and Medical Records
We require a referral from a provider for all new patients. This includes sending past medical records, including prior procedures/injection records related to your referral. Please have your referring provider fax your relevant past medical records to 406-329-5697.
Please also have your referring provider complete our referral request form.
Step 3: Answer questions and submit form to be contacted for scheduling
Please answer the questions below. Once you’ve submitted your contact information and sent the new patient paperwork, and our office has received your referral, we will contact you to schedule an appointment.
Step 4: New Patient Intake Paperwork
Before each new patient visit, we ask patients to complete paperwork about their pain and medical history. This information is very valuable to the providers assessment.
Please complete the paperwork and send back to our office (mail, fax or drop off).
Download New Patient Paperwork
Step 5: Register for MyChart
MyChart is secure, online access to your health care team and medical records. It is how your providers will communicate with you and how we’ll send you information.
Register for MyChart