Referral

You can contact our scheduling specialists at 425-774-1538 between 8:30 a.m.-5:30 p.m. Monday through Friday or fill out the form below.

Referrals can also be faxed to 425-744-1527 or emailed to referrals@washingtonpain.com

Urgency *


Procedure Only


















Attach Files:

Requested Services








Forms




Required information

Please have the following patient information available when referring a patient:

  • Date of birth
  • Social security number
  • Referring physician
  • Insurance carrier
  • Diagnosis
  • Patient phone number
  • Reason for referral

Note for referring offices:
We will call the patient the day before the initial appointment for reminder.