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Referring a Patient
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Referring a Patient - Interventional Pain Management Center
Each patient must be referred by a health care provider. No self-referrals are accepted.
Please complete an
evaluation request form
for each patient and fax it to us at 781-744-5624 (Burlington) or 978-538-4048 (Peabody). Be as specific as possible, especially if you know exactly what type of procedure the patient needs. Every patient will undergo a thorough evaluation prior to the performance of a procedure, if any.
Each patient will complete a Pain Center questionnaire prior to evaluation. The questionnaire will be sent to the patient once their appointment has been made.
Please send/fax any pertinent clinical information (e.g., MRI results, recent chart notes), if not available in the Lahey Clinic patient chart/LCMC.
We will triage all referrals, and patients will be evaluated as soon as possible. Cancer pain is the only true pain emergency and will be treated as such. Please call our physicians to discuss any patients for whom you feel an urgent referral is needed.
Our focus will be interventional management of these problems. We will not refill or fill chronic prescriptions. We will, however, be happy to evaluate a patient's medical regimen, assist with management, and make recommendations.
Make an Appointment
(781) 744-5090