Referring providers

The Pain Center is a consultant medical practice that specializes in minimally-invasive procedures for both diagnosing and treating painful conditions of the spine, headaches, arthritis, and nerve injuries or nerve pain.

Important Information for Referring Providers

In an effort to assist your office with getting patients the assistance needed in an efficient and timely manner, we have identified specific information that is needed for us to properly assess patients prior to their appointment. These items are as follows:

  • Patient demographic sheet ( name, DOB, Address, Phone number, email and insurance)
  • Referral from your office (see below link ┬áto use our referral form)
  • Most recent visit notes and records referencing the condition you are referring the patient for
  • All records/reports for other modalities of treatment
  • Any imaging of the area being seen for
  • Completed medication list
  • Insurance referral (when required by insurance)

We fully realize that not all above documents will be available for all patients. However, it is necessary that as much of the requested information be provided as quickly as possible so that the patient can be scheduled and receive treatment.

Our goal is to provide patients with quality care and service, your assistance with providing this information is greatly appreciated. We look forward to working with you and find the best outcomes for these patients!

Fill out the referral form below or click on the button to download a PDF.