Policies and Procedures

In the Event of an Emergency

In the event of an emergency please call 911, or present to the nearest emergency room. If it does become necessary for you to go to the ER please notify the practice as soon as possible.

In the event that you do obtain treatment from another physician, please call the office if you were prescribed a controlled substance. If you are currently receiving treatment with controlled substances in this office, use of controlled substances not prescribed from this office is a violation of the opioid agreement that you signed with this office and is grounds  for termination from the practice. This measure is taken to protect your health and for your safety.

Hours of Operation

The practice is available by phone 9 AM to 5 PM Monday to Friday, except from 12 noon to 1:00 PM when the staff breaks for lunch

Office Visit Hours are typically Monday, Wednesday, Thursday and Friday at the Boerne location, and alternate Tuesdays at the Kerrville location.


The practice will be closed on the following days:

  • New Year's Day

  • Memorial Day

  • Labor Day

  • Thanksgiving Day

  • Christmas Day


Prescriptions will be evaluated and provided on office visits as needed. Please be advised that any prescription of controlled substances will require at least a monthly office visit to allow for appropriate evaluation and continuation of treatment. Cancellation of office visits may result in inability to obtain prescription medications and is considered non-compliance and is grounds for termination from the practice. This measure is taken to protect your health and your safety.

Please call during normal business hours regarding issues related to prescriptions (9 AM to 5 PM) to have these resolved in a timely fashion. There will be only a single pharmacy allowed for controlled substances, in the event that this pharmacy does not have adequate quantity or there are continued issues with the pharmacy either obtaining or dispensing medication, the practice reserves the right to send medications to a local pharmacy that will guarantee availability.

Financial Policies

As a courtesy, Alliance Spine and Pain Management, PLLC, verifies your benefits with your insurance company. A quote of benefits is not a guarantee of benefits or payment. Your claim will process according to your plan, if your claim processes differently from the benefits we were quoted, the insurance company will side with the plan and will not honor the benefit quote we received.

It is the policy of Alliance Spine and Pain Management, PLLC that payment is due at the time of service unless other financial arrangements are made in advance. We require all patients to pay their deductible, copay and/or coinsurance payment at the beginning of each visit. The office manager at your location will explain this information to you prior to your first visit. At the conclusion of your visits with us you may be billed for any outstanding balances. If there is a credit, you will be provided a refund promptly.

If you are covered by health insurance with Pain Management benefits, we will be happy to bill your insurance. Please provide your insurance information to the front office staff and we will verify your coverage as a courtesy. Accepting your insurance does not place all financial responsibilities onto this practice, and you will be held accountable for any unpaid balances by your plan.

Although we are contracted with most insurance carriers, our services may not be covered by your particular insurance plan. Being referred to our clinic by another physician does not necessarily guarantee that your insurance will cover our services. Please remember that you are one hundred percent responsible for all charges incurred: your physician's referral and our verification of your insurance benefits are not a guarantee of payment.

We highly recommend you also contact your insurance carrier and check into your coverage for Pain Management. Do not assume that you will not owe anything if you have more than one insurance policy.

Please also be aware of the cancellation policy that is outlined in the new patient packet that you sign upon entering the practice. Please cancel any appointment at least 24 hours prior to your visit to ensure that you do not incur any fees. This policy is enforced to allow all patients the opportunity to have time for an office visit.

Procedures and Surgery

Nearly all of the procedures that are performed may be done in the office with the exception of Permanent Implantation of Spinal Cord Stimulator and the MILD procedure. Certain medical conditions may require that we your procedure is performed at the Advanced Ambulatory Surgical Center of Boerne or Hospital if your circumstances warrant it. All procedures done in office may be done with intravenous sedation or without. We have a Board Certified Anesthesiologist that provides IV sedation for these procedures both in the office as well as any other location. There is also the option to have an oral sedative prescribed prior to procedure to provide relief of anxiety if needed. In all cases, a driver must be present at the time of discharge.

If you are expecting to be sedated for your procedure, we ask that you do not eat or drink for eight hours prior to your procedure. If you are required to take certain medications (to treat blood pressure or other chronic disease) we ask that you please just take those pills with a sip of water. If you are insulin dependent, we ask that you halve the dose of insulin that you normally take while fasting for procedure. In the event that you will be scheduled for a surgical procedure at the ASC, risk stratification will need to be performed with your primary care physician and/or cardiologist.

(210) 920-8945

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©2016 Alliance Spine and Pain Management, PLLC