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Physician Resources

  • Referral Based Pain Management Solution

    North Georgia Pain Clinic is a referral-based practice.  As a team, we can work together to complete your patients’ pain management treatment by utilizing past treatments, medications and test to evaluate each patient and initiate treatment for their specific needs.

What We Need From the Referring Physician:

  • Last three office notes
  • X-rays, CT Scans, MRI and any Lab Test
  • Demographic Form
  • Previous Pain Management Records
  • Insurance Authorization, if applicable

We are committed to administering the best care to our patients.  Please provide the information requested to assure that your patients are scheduled promptly. Please be aware that we do NOT accept records from patients.

You may fax the “Physician Referral Form” or requested information and we will contact your patient directly to schedule an appointment after the records have been reviewed and they have been approved.

If you have questions or need assistance, please call our office at (770) 479-2322.

Physician Resources

Typical Treatments
Meet the Team
About Us

Referring Physician Form

Referral Form
5 Locations
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Legal Disclaimer — the information contained on North Georgia Pain Clinic's website is not intended as rendering medical advice nor as a substitute for seeking professional medical assistance. No relationship between North Georgia Pain Clinic and its practitioners may be created through the use of North Georgia Pain Clinic's website. Any individual with specific questions regarding his/her individual health or treatment options should contact North Georgia Pain Clinic to determine if an appointment with one of its practitioners would be appropriate or in the event of an emergency, dial 911.