Call Us:       904-268-8200

​FAX      :       904-268-8298

Email: jaxpaincenter@yahoo.com

New Patients:


Please click the download forms button below. Print, complete the new patient forms and bring with you at your first visit, in order to save time.


​New Patient Paperwork ​

Office Policies
HIPAA Notice

Clay Surgery Center Paperwork

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Preparing for your visit:

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  • Please bring all pertinent medical records as well as imaging films and reports (x-rays, MRI’s, CT’s). 

  • Names and addresses of referring and primary doctors

  • List and dose of all Medications that you are currently taking



What to expect when you see Dr. Shah:


  • A thorough medical history will be taken

  • A physical exam will be performed
  • Urine toxicology will be performed based on the State compliance guidelines.

  • All pertinent imaging studies and medical records will be reviewed and discussed.
  • A comprehensive treatment or diagnostic plan will be offered.