Certain pain conditions may need to be seen on an urgent basis. Please mark the appropriate indication or procedure requiring fast track.
(Please choose at least one option below)
Please fax the following information to expedite scheduling:
Please fax information as requested to: Pain Management Center Scheduling Coordinator - (801) 585-3274
The referral is incomplete until all information is received
For any questions please call or leave a message at (801) 581-2988