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Fax Referral Form and Informational Patient Handouts
Physicians may refer a patient to our office by telephone or by fax, whichever is easiest for your office. We have developed a Fax Referral Form to assist your office staff, using information and suggestions from some of our referring offices. The form is in Adobe Acrobat pdf format. If you do not already have Adobe Acrobat on your system, you can download it free by clicking on the Adobe Acrobat link at the bottom of this page.
The Fax Referral Form can be printed by clicking on the link below:
Fax Referral Form
Printable Informational Patient Handouts:
Pain Management Information Sheet
Epidural Steroid Injection Information Sheet
Facet Joint Injection Information Sheet
Lumbar Sympathetic Block Information Sheet
Selective Nerve Root Block Information Sheet
Stellate Ganglion Block Information Sheet
Informational Patient Handouts have all been designed to provide information to your patients and thereby save you and your staff time when referring patients to Pain Diagnostics and Treatment Center, PA. These are in Adobe Acrobat pdf format. If you do not have Adobe Acrobat on your system, you can download it free by clicking on the Adobe Acrobat link at the bottom of this page.
Pain Diagnostics and Treatment Center, PA
7777 Forest Lane, Suite C-502
Dallas, TX 75230
2241 Peggy Lane, Suite A
Garland, TX 75042
Phone: 972-566-8999 Fax: 972-566-8998
View Map for Directions to our Offices
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