Injection Response Forms


For patients whose physician recommended a diagnostic injection.

An accurate record of your pain and symptoms three hours after your injection and again one week after your injection is valuable information that can assist your physician in treating your pain. Please complete the appropriate online response form as instructed by your physician.

I would like to thank ILBNC for their wonderful staff and physicians that cared for me and look forward to an ongoing relationship with them as my medical team.” 
- V. Core