These instructions are for referring offices. 

Routine consults are scheduled on a first come first serve basis into the earliest open consult time.  If a patient has an urgent condition such as

• Acute disc herniation with acute sciatica

• Severe flare-up of reflex sympathetic dystrophy

• Acute herpes zoster with severe pain

 Please indicate this on the referral form or better yet verbally by phone to our new patient coordiantor at x 114.

To refer a patient for consult and treat:

BY PHONE:

• Dial 520-797-7246, and when the automated call management system answers -
•  Ignore the prompts and enter extension "114". This will take you to IPCA's new patient coordin ator line.  Give us:
  • The patient's name and phone number
  • Your name and call back number
  • The reason that your office is referring the patient for Pain Medicine consultation.

BY FAX:

• Dowload a consult referal form and fax it to: 520 797-4249.   The referal form is intended to make the process easier for you.
•  or, fax your referral information to us at the number above

To refer a patient for a procedure only (when you do not want IPCA to consult)

We have arranged to expedite procedure-only referrals so that the patient is offered a treatment time within 1 week.

• Epidural steroid injection
• Facet blocks
• Nerve blocks
• Joint/bursa injections

ONLINE (New option, preferred):

• Click on this link, fill in the form, and submit.

BY FAX:

• Dowload a Fast track procedure only referral form and fax it to: 520 797-4249.   The referal form is intended to make the process easier for you and to help you with insurance authorization if that is needed to expedite the patient's treatment.

BY PHONE:

• Dial 520-797-7246, and when the automated call management system answers -
• Ignore the prompts and enter extension "114". This will take you to IPCA's new patient coordinator.
• Explain that you want to refer the patient only for a procedure and give us the
  • Patient's name and phone number
  • Procedure requested
  • Your name and call back number

ALSO: You may expedite your patient's care by downloading the Patient History form and handing it to them to fill in before their visit at IPCA, or by directing them to this website to downlaod a copy to fill in at home.

Thank you for referring to IPCA.  We would very much appreciate any feedback on the referral process - please call (520) 797-7246 x113 or e-mail This e-mail address is being protected from spambots. You need JavaScript enabled to view it with any feedback on the process.