New Patient Supporting Documents for Chronic Pain


What should the referring provider send?

  1. Copies of medical records regarding past evaluation, treatment and functional assessment.
  2. Radiographic reports.
  3. Copies of diagnostic imaging studies.
  4. Relevant laboratory studies.
  5. Reports from any specialists seen.
  6. A complete list of all medications, supplements, and herbs used for treatment (current and past).
  7. List of other therapies, including complementary integrative modalities used (including physical/occupational therapy, mental health).