To all our referring providers, we thank you for considering Ellis Pain Center to help treat your patient. The most efficient way to refer us a patient is by fax. Please download and complete our referral form. We ask that you include the following information on the patient, if applicable:
- X-Rays
- MRI
- CT Reports
- Most recent medical records/office notes
Please send all information via fax to 706-208-9147. If you are interested in learning how to send referrals through direct messaging, please contact our office and speak with our referral coordinator.
Referral Form