The Washington Pain Center
3301 New Mexico Avenue, NW
Suite 346
Washington, DC 20016

Ph: (202) 362-4787
Fax: (202) 362-4252
jdombrowski@dcpaindoc.com

Our Forms

The following forms are made available via Adobe Acrobat.  Please feel free to print them and fill them out prior to your visit.  This will save you time at the doctor’s office.

• HIPAA Information
• Patient Registration Form

©2012, Dr. John Dombrowski, MD, PC, All Rights Reserved

Rated as one of the Top Docs in Pain Medicine Spring/Summer 2011