Medical Records and Deps

MEDICAL RECORDS AND OTHER ADMINISTRATIVE REQUESTS

If you wish to request a copy of the medical record, please submit a request via email to our Medical Records Department to cpop@rivernorthpmc.com; make sure to include a check for the processing, fee payable to River North Pain Management Consultants for the amount of $45.00. Once payment is received, allow 2-3 weeks for processing.

Do not send medical record-request to the facilities, as this may result in you not obtaining the record, or delaying its procurement.

If you wish to schedule a deposition with one of our physicians, please send a written request via email to cpop@rivernorthpmc; please be aware that there is an hourly fee (subject to change) of $1,800.00 payable to River North Pain Management Consultants, S.C.. Depositions typically will be schedule only on Wednesdays, contingent to the physician’s surgical schedule.

For further questions contact Cristina Pop at
Phone: (888) 951-6471
Cell   : (312) 961-6471
Fax:     (888) 961-6471
e-mail: cpop@rivernorthpmc.com

Insurance Information

We do accept most private insurance plans, as well as  Workman’s Compensation, and major credit cards.

However, in some cases, our physicians may not be contracted with some insurances, in which case you will be considered  “Out of network”. Please be sure to ask if we are “in network”

Financial arrangements can be made for non-insured and self-pay patients as well as patients  considered “Out of Network”.

We maintain  experienced and highly trained staff in charge of insurance verification and proper insurance pre-certification.

The staff at our billing company are certified and experienced  both in  billing and coding. They will be happy to answer any question.

For any questions regarding billing, insurance, or financial arrangements, you can contact the billing administrator directly:

Rosa Jimenez
Billing Specialist
Phone: (847) 877-6476
Fax:     (888) 961-6471
rjimenez@rivernorthpmc.com

Medorizon
1 George J. Michas
Suite 200
Romeoville Il 60446

Phone: (815) 834-7200
Fax:      (815) 834-7211‬

Business Offices
Our Business offices are located:
9933 Lawler Avenue #510
Skokie, Illinois 60076

*we do not see patients at this location

Patient Forms

Once you have been scheduled to see any of our physicians, please spend some time at home filling the following forms, and either e-mail them or fax them to our office promptly prior to your consultation, in order to expedite the paperwork and therefore allow your doctor to spend more time with you.

E-mail to our patient coordinator:
Cristina Gherman-Pop at: cpop@rivernorthpmc.com
or Fax it to (888)  961-6471

If you prefer you can also print these forms below, fill them, and bring them with you the day of you visit.

If you are coming for a follow-up visit, please fill the follow-up visit questionnaire form below.

New Patient Questionnaire

Follow Up Questionnaire

Consent Form

Financial Agreement

Medication Instructions

Out of Network Form

Narcotic Agreement Form

Cervical, Thoracic and Lumbar Interlaminar Epidural Injections Epidural steroid injections

An epidural injection delivers steroids into the epidural space around spinal nerve roots to relieve pain – back pain, leg pain, or other pain—caused by irritated spinal nerves. The steroid used in the epidural steroid injection reduces the inflammation of those nerves, which is often the source of the pain. It is important to note that an epidural steroid injection should not be considered a cure for back pain or leg pain: rather, the goal is to
help patients get enough pain relief in order to be able to progress with their rehabilitation program.
An epidural steroid injection  significantly reduces pain for approximately 50% of patients. It works by delivering steroids directly to the painful area to help decrease the inflammation that may be causing the pain. It is thought that there is also a flushing effect from the injection that helps remove or “flush out” inflammatory proteins from around the structures that may cause pain. In addition to relieving pain, the process of natural healing can occur more quickly once the inflammation is reduced.
Spinal nerves can become inflamed due to irritation from a damaged disc or from contact with a bone spur.
Depending on which part of the spine the inflamed nerves are located in, pain and/or other symptoms (such as
numbness, tingling) may be experienced in different areas of the body, as shown:

Nerve irritation in the cervical spine

  • Neck pain, or tingling, numbness
  • Shoulder pain, or tingling, numbness
  • Arm pain, or tingling, numbness

Nerve irritation in the thoracic spine

  • Upper back pain
  • Pain along the ribs to the chest wall
  • Pain in the abdomen (rarely)

Nerve irritation in the lumbar spine

  • Low back pain
  • Hip pain
  • Buttock pain
  • Leg pain, or numbness, tingling

Read more

To our Referring Physicians

At River North Interventional 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 cooperation :

You would need to fill and either fax or email us a FAX/Sheet form which can be printed from the link below.

Fax / Email Scheduling Sheet

You would need to fill and either fax or email us a FAX/Sheet form which can be printed from the link below.

Contact Information

We also need all of your patient’s  relevant information  such as:

  • Patient’s address and phone numbers
  • Insurance Information
  • Diagnosis
  • 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 physician.

Workers Comp. Verification Forms

If your patient is a Workers Compensation case, please take a minute to verify his or her benefits.