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Referrals
Self Referrals
MPMC is now happily accepting patients by
self referral.
Please contact us directly by any of the
following methods to schedule your
consultation:
call (916)
568-8338,
send email, or
complete our Patient Self Referral form.*
You may hand deliver the the completed form to MPMC, fax
it to (916) 925-3985, or mail it to:
Metropolitan Pain Management Consultants
2288 Auburn Blvd. Suite 106
Sacramento, CA 95821
Professional
Referrals
Physicians, attorneys and insurance companies
may also refer a patient by calling (916)
568-8338,
sending email, or
completing the
MPMC Patient Referral Form*,
and sending it along with the information
described below to MPMC. Please fax your
referral to (916) 925-3985. In
order
to expedite processing patient referrals please provide all of
the following items:
MPMC
Patient Referral Form (interactive Acrobat Reader form).
*
Face Sheet with patient information.
Legible copies of the patient’s insurance cards (both
sides) OR,
Workers’ Compensation physicians 1st report of
injury.
Insurance referral or prior authorization where applicable.
Copies of any pertinent operative reports, diagnostic
reports, progress records and X-ray film.
Call 916.568.8338
or use our
online
information request form for more information about
Metropolitan Pain Management Consultants (MPMC).
Our hours are:
Monday through Thursday - 8:30am to 12Noon and 1:00pm to 5:00pm
Friday - 8:30am to 12Noon
NOTE: The information contained in these documents is intended only for the use of the individual or entity to
which it is addressed and may contain medical information that is
privileged, confidential and exempt from disclosure under applicable
Federal and California law. If you are not the intended recipient, you are
hereby notified that any use, dissemination, distribution or copying of
this communication is strictly prohibited. If you have received this
communication as an error, please notify the sender immediately by
telephone (916) 568-8338 and return this communication to the sender at
the above address or fax line (916) 925-3985. Once you have sent the
communication to the sender please destroy the document. Thank you.
* These
documents require Acrobat Reader in order to be
viewed.
If you do not have Reader click here to download and
install it.
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