What to Expect
A checklist of what to bring to your first appointment:
Please bring your insurance card and one form of Photo ID to your first appointment. If your treatment is covered by Workers’ Compensation, bring a letter of authorization from your Workers’ Compensation carrier which should include the case number / claim number, date of injury and your Adjuster’s name and phone number.
A List of Personal Health Questions or Concerns
Sometimes we forget all the things we wanted to tell or ask the doctor, so make a list of your symptoms, questions or concerns before you come to your appointment. And don’t forget to bring it with you!
You will be asked to fill out a New Patient Packet for your first appointment. These forms include Patient Information, Health History, HIPAA Notice of Privacy Practices, HIPAA Disclosure and a Financial Policy. For your convenience, you may wish to complete these forms prior to your first appointment and either bring it in with you to your appointment or you can FAX the completed forms to 907-222-6550.
Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.
If you have seen other physicians, please have your medical records transferred to our office before your scheduled appointment. During your first consultation with Dr. Maxwell, a medical history will be taken and reviewed. Dr. Maxwell will collect more specific information pertaining to your current condition during your visit. Be sure to answer all questions honestly and accurately as certain movements are intended to produce, or not produce, discomfort.
Recent MRI that is less than a year old
A recent MRI is needed for your first visit so that Dr. Maxwell can correctly diagnose your condition as a physical exam alone cannot achieve this. If you do not have an existing MRI less than 1 year old, you will need to get a new one ordered. You may obtain a new MRI before seeing Dr. Maxwell by asking your chiropractor / Family Doctor / Pain Management Physician to order you the relevant MRI for your condition. These tests are painless and act as a medical photograph of your body. For simple muscle-related back pain, X-rays are of limited value because they do not show muscles and discs, only bones. Dr. Maxwell may use X-rays to determine if there are any fractured vertebrae after a fall, or if there is a narrowing of the disc space which may imply a disc problem. In some cases, we may use a CT scan to determine what may be causing you pain however this scan is limited in showing soft tissue. Ultimately, it is your responsibility that you bring the correct and recent MRI to your appointment.
Relieving your symptoms
As a result of your first consultation with Dr. Maxwell, the following recommendations may be made:
• Therapeutic & diagnostic procedures such as Epidural Steroid Injections (injections of a steroid and numbing medicine into the spinal canal near the spinal cord) with a Pain Management Physician in order to identify the pain generator.
• Tests such as a Discogram / CT scan in order to fine tune the diagnosis, which are performed by a Pain Management Physician
• Ongoing treatment and evaluation by a Pain Management Physician for medication to reduce pain and inflammation
• Radiology scans (e.g. MRIs, x-rays) which are performed by a Radiologist
• Surgery if appropriate and necessary
• Dr. Maxwell is a huge believer in the benefits of conservative therapies such as those listed below, to relieve pressure on the irritated nerves and provide pain relief. Patients who ultimately require surgery often recover more quickly and easily, thanks to the non-invasive pre-operative care from the following therapies:
Recommended conservative therapies: