Provider Referral

Partnering to restore function and improve quality of life

Provider Referral

We are dedicated to working with providers like you to offer your patients comprehensive pain care of the highest quality.

Please submit the following along with your referral request:

  1. A complete provider referral form
  2. Recent/ relevant typed clinical notes or test results
  3. Proof of insurance
  4. Authorization information with CPT codes and details
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