13575 W. Indian School Rd. Ste 700 & 1000, Litchfield Park AZ 85340 • 15547 N. Reems Rd., Surprise, AZ 85374
inbox@activelifepaincenter.com
623-535-9777
New patients will need to fill out our intake form and submit it prior to scheduling an appointment. Our intake form can be found and filled out on our website. If you do not have the resources to fill it out online, our office can print it out for you, mail or email it to you. Once the intake form is received, the doctor will review the paperwork, along with any prior medical records and/or imaging that is obtained. A member of our office will be in contact to schedule your consultation.
We have two office locations:
Litchfield Park: Located on N. 137th Ave & W. Plaza Cl. (west of postal office)
Surprise: Located on N. Reems Rd & W. Greenway (north of CVS)
Please be aware that insurances frequently change. You may check your insurance cards, sometimes it will mention if a referral is required. If you are unsure, it is best to check with your insurance carrier.
Please bring your drivers license, insurance card, co-payment and any medical records that have not already been faxed. You must also bring all of you pain medications in their original bottles. MRIs and CTs will be very helpful and likely reduce number of appointments needed.
M-TH 7:30-12:30 1-5:30
F 8-12 1-3
Active Life’s policy regarding the process of prescribing scheduled medications (narcotics) involves appropriate due diligence. Certain requirements must be met during the initial consultation that will verify if you are an appropriate patient for these medications. There are certain risks that will be explained to you. Many medications just mask real pain and can actually create more pain if discontinued. Therein lies a vicious cycle. If the patient is deemed to be appropriate through testing and evaluation, then a written note from the patient’s primary care physician may need to be requested if not specified on referral form. In addition, an opioid agreement will need to be signed, a urine drug screen will be performed and a thorough medication evaluation and monitoring program will be initiated. Active Life WILL NOT prescribe a narcotic regimen until the appropriate investigation is complete. Please see our Active Life Policy by clicking here.
We do not accept walk-ins. All patients must follow our new patient process and schedule an appointment.
Active life does not handwrite prescriptions instead we participate in e-Prescribing. E-prescribing, or electronic prescribing is a technology framework that allows physicians and/or practitioners to write and send prescriptions to a participating pharmacy electronically.
We do accept self-pay patients. We accept all forms of payment which include credit card (including Care Credit), checks, and cash. Financing is available through Care Credit. Click Here to apply.
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