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Pinnacle Pain Management Specialists Pinnacle Pain Management Specialists
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New Patients

New Patients Intake Form

While this is not required for your initial appointments with us, we'd like to give our new patients the opportunity to review, print, and fill out the New Patient Intake Forms we provide at the office ahead of their visit. This can help our patients gather all of the information possible for effective care at the beginning of our relationship, and will allow them to streamline their first experience at our clinic from the comfort of their own home. 

Please review and complete the following New Patient Form below for a simpler initial experience at our clinic. Thank you and we look forward to seeing you! 

Hear From Our Happy Patients

Your recovery is our number one priority.
    “Just want to say 'Thank you Dr. Jain!'”
    “I’ve been going to Pinnacle Pain for over ten years and I’ve been very happy with the outcome.”
    - Dan M.
    “I never feel rushed.”
    “Also practitioners are attentive to me and my needs.”
    - Lisa A.
    “One of the greatest doctors ever.!”
    “After suffering for over 20 years, I can now say my pain has decreased big time!”
    - James W.
    “Dr. Jain is the best!”
    “he behind-the-scenes support staff are amazing!”
    - Bridget I.
    “Highly recommend coming here!”
    “The doctors and staff at the front desk are very professional and friendly.”
    - Vince M.
    “Everyone at Pinnacle Pain Management is wonderful!”
    “I receive the best care by doctors that actually listen & genuinely care.”
    - Stephanie A.
    “Sign up with Pinnacle Pain Management!!”
    “Pinnacle pain management has been a life saver for me.”
    - Cat p.
    “They go out of their way to help when needed.”
    “They show they care, and address all my concerns. I highly recommend!”
    - Sierra

Insurances We Accept

We will treat patients suffering from personal injury and workers' compensation claims under liens and letters of protection.
  • Cigna
  • Aetna
  • Humana
  • Anthem INC
  • Blue Cross Blue Shield
  • United Health Care
  • Medicare
Find Comfort in Choosing Pinnacle Pain Management
  • Double-Board-Certified
    Both of our Providers are Double-Board-Certified in Pain Management and Anesthesia.
  • Trusted Leader
    Dr. Jain's experience includes serving as Medical Director of Pain Management at Hinsdale Hospital for nearly a decade.
  • Top Doctor
    Dr. Jain, in his time with Pinnacle Pain Management, was named a Top 5 Pain Specialist in Chicago by Chicago Magazine.
  • Newest Treatments
    Pinnacle offers the newest and trusted pain management services and treatments, such as Intracept and VIA disc.

Contact Pinnacle Pain Management Specialists

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