New Patients

Request an Appointment

Request an Appointment with Conejo Pain Specialists

Complete our interactive pain scale and show exactly where you are experiencing pain.

Interactive pain scale Go to form

Request an Appointment

Request an AppointmentConejo Pain Specialists Medical Group
Telephone: 805.497.8616
Fax: 805.496.5585

Conejo Pain Specialists Medical Group welcomes new patients.  To request an initial consultation, we encourage you to use our interactive patient intake form. Alternatively, you may contact our appointment scheduler at 805.497.8616.

Comprehensive Medical History Form:

In addition to the basic online intake form, we encourage you to print this comprehensive medical history form complete it and bring it with you to your appointment.

Physician Referral Form:

If your physician has prescribed a specific procedure, please call Vicky at the Saxon Surgical Center at 805.241.0151 for scheduling.

Please click here to access the Physician Referral Form. Please request that your physician print and complete the physician referral form and fax it directly to Saxon Surgical on 805.241.0151.

Connecting Conejo Pain Specialists with Your Primary Care Physician:

If your primary care physician, treating practitioner, or insurance provider wants to contact Conejo Pain Specialists Medical Group directly to make a referral or request an appointment, the following information is needed:

  • Complete medical history
  • Copies of completed imaging studies and reports (i.e. CT scan, MRI)

*You (the patient) may be asked to complete a Medical Records Release form to permit your physician or practitioner to release your records to Conejo Pain Specialists Medical Group.

Conejo Pain Specialists Medical Group Privacy Policy.