Refer a Patient

Download Referral Form

Download Release of Medical Records Form

To refer a patient to our office:

1. Have the PCP or Referring Physician get approval from your insurance company if required.

2. Fax all relevant records pertaining to consultation, to 678-284-6500.

One of the challenges that you will face is trying to determine which patients will need to be evaluated by a Physical Medicine & Rehabilitation doctor. Here are some common reasons for referral.

1. Referrals for General Consultation

Some of the conditions for which a consultation or therapy may be provided by our office are:

  • Musculoskeletal Injury/ Sport Injuries/ Orthopedic Injuries
  • Automobile Related Injuries
  • Intervertebral Differential Dynamics (IDD) Therapy – for back and neck pain
  • Back and Neck pain from any cause
  • Workers Compensation /Occupational Medicine
  • Independent Medical Examination (IME)
  • Arthritis (rheumatoid, degenerative, others)
  • Strokes/ Neuromuscular Disorder
  • Spinal Cord Injuries
  • Pain management
  • Tendonitis
  • Spasticity Management
  • Carpal Tunnel Syndrome
  • Numbness, tingling, pain or weakness in any part of the body
  • Cervical and lumbar radiculopathy
  • Polyneuropathy (including diabetic, other metabolic causes)
  • Neuropathy (any nerve)
  • Myopathies

2. Referrals for an EMG/NCS

The following are some of the conditions for which patients often need an EMG/NCS:

  • Numbness, Tingling, Pain or Weakness in any part of the body
  • Carpal Tunnel Syndrome
  • Cervical Radiculopathy
  • Lumbar Radiculopathy
  • Tarsal Tunnel Syndrome (a foot pain syndrome)
  • Polyneuropathy (including diabetic, other metabolic causes)
  • Neuropathy (any nerve)
  • Peripheral Neuropathy
  • Spasticity Management
  • Musculoskeletal / Sports / Orthopedic Injuries
  • Back and Neck Pain
  • Work Related Injuries
  • Automobile Related Injurie

3. Referrals for Pain Mangement

We treat a wide range of pain related conditions. Some of which are:

  • Neck or Back Pain
  • Joint Pain
  • Epidural Steriod Injections
  • Nerve Blocks
  • Spasticity
  • Trigger Point Injections
  • Fibromyalgia

Please visit our Pain Management Page for more details.

Alternative Medicine

  • Medical Acupuncture – primarily for musculoskeletal disorder pain management