01
Two ways to refer
Medical offices use the Refer a Patient form. Attorneys and case managers referring an injured client use the Personal Injury Referral, which captures the letter of protection status for our team to review.
Prefer the phone? Call your clinic during office hours and the team will take the referral directly.
02
What helps us schedule the right visit
A clear reason for referral helps the receiving team understand the patient’s current problem and the question you want the evaluation to address.
- Primary pain concern, symptom distribution, and duration
- Relevant diagnoses, red flags, and functional limitations
- Prior conservative care, procedures, and response
- Current medications and clinically relevant health risks
03
Include useful supporting records
The practice can tell you which records are required for the planned visit. Commonly useful materials may include recent imaging reports, specialist notes, procedure records, discharge letters, and the current medication list. Fax them to 480-493-5336 or choose “Please request them from our office” on the form.