The providers at CIPS thank you for referring your patients to our practice and look forward to taking care of them as quickly as possible. We have helped streamline the referral process for pain management patients, and will work with your staff to make the transition of care as easy as possible. We will send you a consultation report after your patient’s visit to CIPS as quickly as possible.
- Download and fill out the patient referral form.
- Fax the completed referral form to (970) 242-1097
- Please include patient information and notes related to the referral, including:
- All radiology/imaging reports
- Latest dictation
- Medication sheet
- Copy of patient data sheet
- Any pre-certification paperwork (or C-9 for BWC cases)