The Center for Pain Management

Call Us Now: 270-282-7116

  • Home
  • Meet Our Staff
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  • More
    • Home
    • Meet Our Staff
    • Pain Syndromes/Conditions
    • Treatments
    • Patient Forms
    • Contact Us

Call Us Now: 270-282-7116

The Center for Pain Management
  • Home
  • Meet Our Staff
  • Pain Syndromes/Conditions
  • Treatments
  • Patient Forms
  • Contact Us

Documents Required for Referral:

  • Center for Pain Management (CPM) referral form
  • Last 2 office visits
  • Any imaging reports
  • Patient demographic sheet
  • Copies of insurance cards
  • For lock-in program patients referral form from the primary care needs to be sent directly to the insurance with approval from the insurance sent to us

Patient Forms

Referral Form (pdf)

Download

New Patient Packet (pdf)

Download
  • Home
  • Meet Our Staff
  • Pain Syndromes/Conditions
  • Treatments
  • Patient Forms

The Center for Pain Management

440 B High St, Bowling Green, KY 42101, US

TEL: (270) 282-7116 FAX: (270)-282-7121

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