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Patient Forms

Thank you for your interest in Texas Pain Institute! Our team of professionals are dedicated to help manage your chronic pain. We understand that chronic pain can burden one’s life and those around them. Using state of the art technology, proven methods, and providing medication management where appropriate; our goal is to help you live a better life.

If this is your first visit to our clinic, please complete the following forms and bring them with you. This will help ensure a thorough appointment. In addition, we also welcome you to bring any x-rays, reports, or other information pertaining to chronic pain or other health issues.

Again, thank you for taking time to learn more about Texas Pain Institute! We look forward to meeting you!

Click below to download the digital fillable forms you need. Filling them out ahead of your visit can save you time. Please bring the forms in with you on the day of your appointment.

New Patient Packet
Medical Records Release Request




Treating Pain & Changing Lives

Nobody wants to live in pain. The patients featured in these stories suffered real pain and wanted their lives back — so they took action. And so can you.

  • John R.'s Story

    30 years of serving his country all came to an end after the pain from a lingering back injury caught up with John R.. The pain ... Read Full Story

  • Mark P.'s Story

    I was not able to live my life in my normal fashion. I could not do many of my own physical conditioning activities, especially ... Read Full Story

  • Tracy R.'s Story

    Where others might have given up Dr. Kendall just kept working with me until he found the right solution. I even recall how he ... Read Full Story

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