Patient Area

Save time. Be prepared. Print and fillout all your paperwork before your appointment.

Patient Paperwork

Thank you for choosing Pain Relief Associates for your care. To make an appointment or for more information please contact our office directly by completing our Contact Form or calling (713) 863-9524.

All new patients will need to fill out these General Forms. If you are already a patient or if you will be visiting more than one of our 5 offices, note, the General Forms will only need to be filled out once and delivered to your first office visit. Thank you for helping us serve you.

Pain Management

Dr. Chin (Please fill out all three)

Patient Paperwork

Procedure Paperwork

Accepted Insurances

Managed Care Plans

Aetna (EPO, HMO, POS, PPO)
Aetna Signature Administration
Amerihealth
Association & Society Insurance (ASI)
Blue Cross Blue Shield (EPO, HMO, POS, PPO)
Blue Cross Blue Shield Marketplace
Boon Chapman
Celtic
Champva
Christian Fidelity Life Insurance
Cigna (EPO, HMO, POS, PPO)

Community Health Choice Marketplace
Conventry/Texas Advantra
ELCA
Freentree Administrators
Freedom Life Insurance
Government Employee Health Association (GEHA)
Genworth
Group Benefits Services
Group Pension Admin
Health Design Plus
Health Smart Benefit Solution
Humana

Humana Tricare
Kelsey Care Advantage
Loyal
Mail Handlers Benefit Plan (MHBP)
Manhattan Life Insurance Company
Meritian
Memorial Hermann Health
Multiplan
Mutual Omaha
New Era Life Insurance
Office of Group Benefit
Old Surety

Private HealthCare System (PHCS)
Physicians Mutual
Regency Employee Benefits/Global Care
Reserve National
United Medical Resources (UMR)
United Health Care (EPO, HMO, POS, PPO)
Universal
Veteran Choice Program
Washing Nation Life Insurance

Medicare Advantage / Replacement Plans

Amerivantage/Medicare Advantage
Medicare (All PPO)

Medicare HMO (Aetna, BCBS, HUMANA, UHC)
Traditional Medicare