At River North Interventiuonal Pain Management Consultants, S.C.,
we truly appreciate your referrals, and strive to rapidly accommodate
your Patient's needs.
As you know, pain is a devastating and incapacitating experience, and
therefore we try to see your Patients on an semi-urgent basis.
To accommodate your patients promptly, our contact person is readily
available either on our office or on her cell phone/page number.
In order to further expedite the care of your Patient, we need your
You would need to fill and either fax or email us a FAX/Sheet form
which can be printed from the link below.
We also need all of your patient's relevant information such as:
- Patient's address and phone numbers
- Insurance Information
- Medications he/she in currently taking
- Copy of the referring physician's notes
- Copies of any available Mr's, X-Rays, or CT scans.
Finally we would need the procedure requested by the referring
If your patient is a Workers Compensation case, please take a minute
to verify his or her benefits.
To our Referring Physicians