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Bacas Pain Management Center Patient Referral

There are as many different types of pain as there are causes for it and while everyone experiences pain at some point in their lives, some people experience pain every day. For some, pain is a nuisance, sending little reminders of its presence, interrupting their lives. For others, pain can be debilitating, ever present, and life altering.

To begin the referral process and make arrangements for sending images and health history information, please please fill out the form below.

All fields with an (*) are required


Head & Neck
Back
Cancer
Upper Extremity
Lower Extremity
Thoracic Pain

Alternatively, you may download and fax the form below or call us now at (281)461-4300.

Click Here to Download the Referral Form

Question? Contact Us Today!