To refer a patient, please fax referral and pertinent clinic notes to the corresponding location below
What Do I Need For My Initial Appointment?”
- Referral from a physician for pain management
- Your most recent clinic notes should be submitted via fax at 866-644-8086 or to firstname.lastname@example.org.
- Any imaging you have had in the past 6 months should be sent to us as well.
- Authorization of your referral if your insurance requires it.