| Below are links to two important documents (.pdf format) that all patients being seen at Unifour Pain Treatment Center must complete proir to their first appointment.
You may be asked to mail or drop off the Authorization for Release of Medical Information form as soon as possible so we might have your old records available at your first visit.
**Please note that the Authorization for Release of Medical Information form does require a witness signature**
Mailing address: Unifour Pain Treatment Center, 250 18th Street Circle, SE, Hickory, NC 28601-1366
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Authorization for Release of Medical Information Form| Directions & Address | |
| Unifour Pain Treatment Center Physician Staff | |
| Referral Requirements | Billing Inquiries |
| UAAPA Staff Only | Related Links |
- 250 18th Street Circle SE
Hickory, NC 28602 - 828/324-4005 fax: 828/315-5974
1999 Unifour Pain Treatment Center & Unifour Anesthesia
Associates, PA