Emergency referral: If your patient has a recent diagnosis of shingles (herpes zoster) or newly herniated disc, please contact our New Patient Referral Team and we will make every attempt to facilitate a same day appointment.
Routine referral: If you would like to have your patient seen at PainCare, fax the following information to our New Patient Referral Team at: 603-692-1070
Please be sure to include:
- Patient demographics
- Insurance referral, if applicable
- Please include the last 3-4 office visit notes pertaining to patient’s pain
- Hospital admission notes
- MRI/CT/X-ray reports or pertinent lab results
- Any previous pain clinic records
The patient should be contacted to discuss scheduling an appointment within 3-5 business days. Once an appointment has been secured they will be sent registration paperwork to be completed and brought in to their first appointment.
If the patient has had recent and pertinent x-rays or MRIs, please remind him/her to bring the films or disk to the consultation visit.
If there are other issues not apparent in the medical records that are relevant to the referral, please feel free to contact the New Patient Referral Team at 603-841-2307 to discuss the issues.