The Center for Pain Management

Location & Patient Forms

Patient Forms:

Click Here to download new patient Packet.

Click here to download new patient history.

Referring Physicians:

Click Here to download referral form

Documents needed for a referral:

  • Center for Pain Management (CPM) referral form
  • Last 2 office visits
  • Any imaging reports
  • Patient demographic sheet
  • Copies of insurance cards
  • For lock in program patients referral form from the primary care needs to be sent directly to the insurance with an approval from the insurance sent to us

Contact Us:

Center for Pain Management is conveniently located on High Street adjacent to The Bowling Green Medical Center at

440 B High Street
Bowling Green, KY 42101
Tel: 270-282-7116
Fax: 270-282-7121
www.thecenterforpainmanagement.org