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UCSF Medical Center at Mount ZionPain Management Center



Referral Information

The UCSF Pain Management Center is a consultative practice and all patients must be referred for consultation by their primary care physician or other health care provider.

Non-UCSF Referring Providers:

UCSF Referring Providers:

  • Please complete a referral within APeX

All Referring Providers:

  • Along with a completed referral form, please include:
    • Reason for referral
    • Most recent medical evaluations
    • Most recent operative reports
    • Most recent X-ray/MRI reports
    • Any psychological evaluations or reports
    • A list of the patient’s current medications
    • If required by the patient’s insurance, the authorization for the referral to the PMC

Evaluation Process:

  • We receive your referral
  • We contact the patient and schedule them for an initial evaluation
  • Once October 8, 2014
  • An appointment confirmation letter
  • Directions and parking and transportation information
  • Information about enrolling in UCSF MyChart, a confidential on-line resource for UCSF patients’ routine health care needs.
  • Once we have evaluated the patient, the referring provider will be sent a copy of our evaluation summary, treatment plan & recommendations. If you need additional info, please contact us at (415) 885-7347.
  • Treatments and Recommendations:

    • We will provide recommendations about the proposed treatment or suggested medication regimen to the referring provider
    • If required by the patient’s insurance, we will secure prior authorization for recommended treatments prior to scheduling the patient’s appointment.


    Referral Documents