Referrals Are Fast and Easy
Referring a patient should be straightforward. Use the electronic form to share the patient’s information and clinical context; our team will review the submission and coordinate next steps with the patient.
Pain & Spine Institute brings interventional pain management, physical therapy, and chiropractic care together, so patients can be evaluated for coordinated care based on their symptoms, history, and clinical needs.
Helpful details to include when available
Patient contact and insurance information
Reason for referral and relevant medical history
Previous treatments and medications
Recent notes, imaging, or diagnostic reports
Electronic Referral Form
Complete the form and our team will review the referral and coordinate next steps. Please provide only the information requested by the form.
Pain Care Across Chicagoland
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