| How to refer your patients to PainCare |
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Download and print: Patient Referral Form
PainCare deeply appreciates the referral of your patient. Our goal is to work with you in helping your patient obtain pain relief and increased function and to reduce dependency on the healthcare system. We will do everything reasonable to ensure the lines of communication are kept open and clear regarding the treatment and progress of your patient. Our preference is to assume responsibility for your patient's total pain needs in order to better track response to various treatment modalities; however, we can share some responsibility at your request. Emergency referral:If your patient has a diagnosis of shingles (herpes zoster), severe cancer pain, a freshly injured disc, a severe muscle spasm or other origin of acute pain that is not associated with paralysis or incontinence, please let our new patient coordinator know and she will facilitate a same day appointment. Routine referral:If you would like to have your patient seen at PainCare, have your staff call 603-692-3166 (Somersworth) or 603-424-8866 (Merrimack) and ask for the "new patient coordinator." Patients referred to PainCare will be seen after relevant medical records and an insurance referral (optional) are received in our office. Medical records should include related office notes, hospital admission notes, MRI/CT/x-ray or pertinent labwork. 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" coordinator to briefly discuss the issues. She may have you speak directly with one of our physicians. Following your initial phone call, we will contact the patient to set up an appointment. The patient will be sent a packet of information to be completed and then brought to their first appointment. |
