We focus on what matters, the patient.

Thank you for trusting us with the continuing care of your patient.

USE OUR ONLINE FORM

Click here to use our new online referral form.

EMAIL OUR TEAM

Email the required information below to: npic@92erq97n.hbhxgj.net

USE OUR FAX LINE

Fax the required information below to:

Submitting Your Referral

Our online form is the easiest way to submit a referral.  If you would like to submit via email or fax, please remember to include the items below. 

When submitting please also include:

  • Written order
  • Recent visit notes, medication history and imaging
  • Insurance and demographic information
  • Authorization (if required)

Account Information

You can now track the status of your referrals and submit them online.  
Click the link below and then "Sign In" in the upper right corner.
Login or sign up

SUMMIT REFERRALS ONLINE

Submit referrals online with one easy form.

submit referral

TRACK THE STATUS

View the status of any referral you’ve submitted.

check the status
Treating Pain, Restoring Life.

We know that pain interferes with every aspect of your life, that’s why we’ve put our years of experience and success into discovering the root of your pain and the most appropriate treatment for each individual case.

We are honored to work with you towards your new, restored, lifestyle.

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