Skip to content
nipm-logo-reversed-sm
  • Home
  • About Us
    • Your Providers at NIPM
    • Our Locations
  • Services
    • Pain Types
    • Pain Mangement Procedures
    • Mental Wellness
      • Psychology Paperwork
    • Physical Therapy Newcastle
      • Exercise Physiologist Paperwork
    • Anaesthesia Services
  • For Patients
    • Patient Forms
    • Resources
    • Planning for your pain management procedure
    • Products and Resources
  • For Referrers
    • Send an eReferral
  • Contact Us
    • Our Locations
    • We’d love your Feedback
    • Contact NIPM Health Hub
  • Home
  • About Us
    • Your Providers at NIPM
    • Our Locations
  • Services
    • Pain Types
    • Pain Mangement Procedures
    • Mental Wellness
      • Psychology Paperwork
    • Physical Therapy Newcastle
      • Exercise Physiologist Paperwork
    • Anaesthesia Services
  • For Patients
    • Patient Forms
    • Resources
    • Planning for your pain management procedure
    • Products and Resources
  • For Referrers
    • Send an eReferral
  • Contact Us
    • Our Locations
    • We’d love your Feedback
    • Contact NIPM Health Hub

Patient Forms

Please allow 20 minutes to complete the relevant questionnaires below in their entirety.

If you have any questions, please phone our rooms on (02) 4923 8900.

New Patients

 

    • Patient Information Form

 

    • Psychometric Data

 

Pain Stimulation Patients

 

    • Pain Stimulation Patients

 

Individual Forms

 

    • Brief Pain Inventory

 

    • PCS Pain Catastrophizing Scale

 

    • TSK (Tampa Scale)

 

    • DASS

 

    • PSEQ

 

    • RMDQ

 

    • K10

 

nipm-logo-reversed-sm

Enquiries

Phone: (02) 4923 8900

Fax: (02) 4947 8991

Email: info@nipm.com.au (opens in new tab)

Find us on facebook (opens in new tab) Find us on Instagram (opens in new tab) Find us on Instagram (opens in new tab)

Patient Forms

View Maps for Our Locations

Newcastle | Maitland | Gosford | Berkeley Vale

For Referrers

Copyright © 2026 | Newcastle Integrated Pain Management | Privacy Policy