New patients

Your first visit, start to finish.

Most people arrive having already been somewhere else. The first appointment is about establishing what is actually generating your pain — so bring everything that helps answer that.

Before you come in

What to bring

The more of this we have on the first visit, the sooner we can get to a diagnosis rather than repeating tests you have already had.
  • Photo ID and your insurance card.
  • Current and previous medical records relating to the pain.
  • A list of your current medications, including doses.
  • Any imaging you have had — MRI, CT or X-ray. The report alone is useful; the actual images on a disc or portal are better.
  • Notes from any prior treatment: physical therapy, injections, surgery, chiropractic.
  • A referral, if your insurance plan requires one. Call us if you are not sure.

Not sure what you have or what you need? Call (904) 750-3787 and we will tell you what matters.

How it works

What happens when you get here.

  1. 01

    History and examination

    Where the pain is, what makes it worse, what has already been tried, and how it is affecting what you can do. Then a physical examination focused on reproducing and localising it.

  2. 02

    Imaging reviewed with you

    Dr. Loch reads your MRI or X-ray on the screen with you. Where a dynamic look helps, ultrasound lets us watch the structure move rather than judge it from a still image.

  3. 03

    A working diagnosis

    You leave knowing what we believe is generating the pain and how confident we are. If two explanations remain, we will say so and explain how a diagnostic block would separate them.

  4. 04

    A plan

    Treatment options in order of how invasive they are, what each involves, and what we would expect from it. Many procedures can be scheduled shortly afterwards — the procedure suite is in this office.

Common questions before a first visit

Do I need a referral?
It depends on your insurance plan. Some plans require a referral from your primary care physician to see a specialist; many do not. Call the office at (904) 750-3787 with your plan details and we will check before you come in.
Will I get an injection at the first visit?
Usually not. The first visit is for diagnosis. Treating before we know what is generating the pain is how people end up with procedures that do not help. Where the diagnosis is already clear, treatment can sometimes be done the same day.
How long does the first appointment take?
Plan for about an hour, including paperwork. Arriving 15 minutes early with your forms completed helps.
Is this a practice that prescribes opioids long-term?
No. This is an interventional practice. The focus is on identifying the source of pain and treating it directly with image-guided procedures, nerve treatments and regenerative therapy. Medication management is not the model here.
What if I have already had back surgery?
That is a common reason people come in. Pain that persists or returns after spine surgery has its own set of causes and treatments, and it is worth a proper diagnostic work-up rather than assuming nothing more can be done.
Is the office wheelchair accessible?
Yes — the entrance, parking and restroom are all wheelchair accessible.

In their words

What the first visit is like, from patients

5.0 from 217 Google reviews
★★★★★
Great experience from start to finish. Staff is super friendly and knowledgeable. Exceptional customer service. Dr. Loch is awesome at explaining everything and painting the full picture so I can make decisions based on my needs. Highly recommended. 11/10
Julian Velez
★★★★★
I go to the top position and must’ve been but lots alike so that sits at the very top. I refer him to anybody. I know that’s in pain because I know he has the knowledge and skills to help him.
Paula Smith
★★★★★
I have been to many Pain Management Doctors and have finally found Dr Loch. I never feel rushed or uncomfortable. Dr. Loch and his amazing staff are extremely friendly and supportive. Instead of treating me as a patient, I am treated with compassion.
Toby Richmond
★★★★★
Over too many years I have seen too pain management guys. This one is different. First, he caught something on an MRI that only one other health professional had caught, including those reading the MRI, a cyst at the base of my spine pushing again the nerve. Second, his (their) treatment of it was first class. He took his time, was gentle. Concerned about my pain level throughout the process. Talked. Was funny, or at least amused by my jokes, a nervous habit and caring. Great experience!
Jim McCarthy
★★★★★
My first visit with the "Ponte Vedra Spine & Pain Center" was "exceptional". The staff were very friendly & welcoming as well as professional. My meeting with Dr Loch was equally "exceptional." He carefully reviewed the MRIs & and evaluations of previous physicians, listened attentively while I reported the origins of my back problem through my current condition. He then fully explained the available procedures to treat my back pain & was very frank about how effective each procedure could be in alleviating my pain. Our visit concluded with a thorough plan to address my condition until our next meeting; Dr Loch prescribed medication to manage my pain, and set up a follow up appointment. I could not be more impressed with the Spine & Pain Center and happier with my decision to seek treatment with Dr. Loch & staff. J. B. Egan CAPT. USCR Ret.
Joseph Egan
★★★★★
The staff is amazing and always friendly. After just a couple treatments, my shoulder is feeling better. Definitely recommend to anyone with back or joint pain.
Ryan Baughman
Read all reviews on Google → Synced from Google on 24 July 2026

Eliminate pain and reclaim your life.

Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.