Refer to Us
For patients with complex pain and persistent, unexplained symptoms, refer them for integrated and holistic pain management using the form below.
To Refer A Patient...
To ensure seamless coordination of care for individuals experiencing complex pain and persistent symptoms, please utilize the patient referral form below to connect with us.
To further expedite the intake process and ensure our team has a complete understanding of the patient’s medical history, we would greatly appreciate it if your office could fax any recent clinical notes, relevant diagnostic reports, updated imaging studies (such as X-rays, MRIs, or CT scans), and other pertinent information that would aid in our evaluation.
refer to Painlogics
This form is for healthcare providers who wish to refer a patient for our services. Please fill out all required fields with accurate and complete information to ensure a smooth and efficient referral process.
Patient referral form
