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Back Pain Referrals

11/14/2015

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 Refer your chronic or new back pain patients to GW's Spine and Pain Center with an easy to use referral sheet. The Spine & Pain Office will call patients at home to schedule an appointment and work with them on insurance pre-authorization patients. He says they can typically see patients within one week. 

For you to do:
1. Print the form below and fill it out. To better use your time, have the patient fill out their name, address and insurance information.
2. Fax your ED Note (or ask the unit secretary), any relevant imaging reports and the referral sheet to the number at the top of the referral sheet. This is the most important part.
3. Remind your patients to expect a call from the Spine Clinic and that not all insurance is accepted (they do take two forms of DC Medicaid) but TriCare and a sub-type of Blue Cross has been an issue. 

The referral sheets are available above the prescription printing are on the Urgent Care side. Or search your email for this note and print the attachment. 
spine_referral.pdf
File Size: 946 kb
File Type: pdf
Download File

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This site is independently owned and operated and not affiliated with the George Washington University, George Washington University Hospital, or Medical Faculty Associates. All information on this site is the opinion of the author alone and in no way should be seen to represent the views of the George Washington University, George Washington University Hospital, or Medical Faculty Associates. The information on this page is for personal use only and should not be see as medical advice or used directly for patient care. The author provides no guarantee of the accuracy of the information provided on this page. ​

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  • Clinical
    • Discharge Macros
    • Procedure Macros
    • Exam Macros
    • Pediatric Macros
    • Antibiogram
    • Follow Up
    • 2023 MDM
    • Heart Pathway
    • Jeromy's Macros
  • Education
    • EM Education
    • Critical Care
    • FOAM
  • Orientation
    • Dept Orientation
    • Cerner
    • Dragon
  • Links
    • Clinical Links
    • StatMacros
    • ICU Bootcamp
  • Private
    • MCS
    • GWU Contacts & Map