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Interventional Pain Medicine

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Integrity Pain & Wellness
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Patient portalReferring providers
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For attorneys and case managers

Refer an injured client. We will be in touch.

Send the client and the letter of protection status in one short form. Our scheduling team will contact you.

Prefer to call?your clinic, Mon–Thu 7–4, Fri 7–1. Records fax: 480-493-5336.

Personal injury referral form

Personal injury referralStep 1 of 5

Your firm

Your role

Where we send the letter of protection and scheduling confirmation.

Nothing is booked until our team confirms a date and time with you. For a medical emergency, call 911.

Send the letter of protection, police report, and any imaging by fax to 480-493-5336 or through the channel our coordinator confirms with you. Do not paste medical records into this form.