Patient Resources
Please print and complete your patient forms prior to your scheduled appointment.
Oftentimes, the team at the Pain Clinic recommends products or businesses to support your care plan. Links to some of these resources can be found below.
Patient Forms
To expedite your visit at the Pain Clinic of Lake Superior, please print or download and complete these forms prior to your scheduled appointment.
No Food Waste
Ruby’s Pantry gathers food overages, surpluses, and bumper crops to distribute at locations across Minnesota and Wisconsin. There is no income or residency requirement and no limit to the number of sites you can visit.

Medical Insurance
Many procedures are covered by insurance but require prior authorization. Some procedures may require cash-only payments. Please be sure to check with your insurance provider, prior to your appointment, to determine your eligibility. If you have additional questions, call us during business hours at 218.728.8548.
Medical Cannabis
Qualifying patients are certified for medical cannabis through the Minnesota Department of Health Cannabis Registry. Green Goods is a local dispensary who provides medical cannabis to certified patients. On the Iron Range, products can be found at Leaf Line Labs.