Schedule an Appointment

*Please fill in all the required fields.

Do you have an order from a physician and want to schedule an appointment?

YES

NO

In order to assure you are getting the test your physician requires, it is important that you have the order. Please contact your physician to obtain an order so you can be scheduled properly.

 

Aultman Wait Times

Choose Immediate Care for colds/flu, sprains/strains and other minor injury/illness.


Go to the ER for major concerns and trauma. Call 911 for chest pain and stroke symptoms.

Menu

Pain Management

location icon

Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts. 

symptom checker icon

Need a Doctor?

Aultman Medical Group's network of more than 240 providers is committed to high-level patient care.

calendar icon

Schedule an Appointment

Click below to complete an online form. 

 

donation icon

Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

Pain Management Forms

Massillon Location

Patients
If you are a new patient, please download and complete this online questionnaire. We also have a printable form that you may fill out and return to:

Aultman Pain Management
2051 Wales Ave. NW
Massillon, Ohio 44646

Once the team from Aultman Pain Management has reviewed your forms, we will contact you with more information. 

Physicians
If you're referring a patient, please complete and mail or fax the physician referral form to Aultman Pain Management.

 

Alliance and Orrville Locations

Patients
Before your first appointment, please click here to digitally sign the Aultman Alliance Community Hospital Therapeutic Contract. You will also need to access and complete the Pain Management Questionnaire found here. 

location icon

Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts. 

symptom checker icon

Need a Doctor?

Aultman Medical Group's network of more than 240 providers is committed to high-level patient care.

calendar icon

Schedule an Appointment

Click below to complete an online form. 

 

donation icon

Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

What's Happening