Referral Process
Referring physicians, please fax referral to Pain Management and complete medical history to:
Referral Center Fax: 513-803-1111
Referral Center Toll-Free Fax: 866-877-8905
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Pain Management Center Referral Process
A physician referral and complete medical history is required before your child can be scheduled for an evaluation at the Pain Management Center at Cincinnati Children’s.
Medical records needed include: PCP office notes, Specialists office notes, Labs, X-Rays/MRIs discs and results, complete insurance information, and demographics.
While this may seem to some like an extra, unnecessary step, having a complete medical history is important because our providers want your child’s appointment to be as productive as possible and they don’t want to repeat tests that have already been done if not necessary.
All new referrals are carefully reviewed by a nurse practitioner for appropriateness clinically and completeness of medical history. We kindly ask for your patience during this process which may take up to 24- 48 hours. After this is completed, a member of our staff will contact the family directly to schedule an initial evaluation.
It is the responsibility of the family to contact their insurance carrier for visit coverage and to make sure providers are in-network. In some instances, our office may contact the insurance carrier for prior authorization.
For out-of-state Medicaid patients, the referring physician must start the prior-authorization process by providing the insurance carrier a letter of medical necessity including clinical notes. At times, a peer to peer phone conversation is needed between the referring physician and the insurance clinical director for approval of out-of-network services.
Functional Independence Restoration (FIRST) program Referral Process
*Patients who are referred to the Functional Independence Restoration (FIRST) program must be seen for an initial multidisciplinary clinic visit in the Pain Management Center to determine program eligibility. There are no direct admissions to the FIRST program.
Referrals and medical records should be made to the Pain Management Center (see instructions above) with special notation of “Please evaluate for FIRST program.”
Referring physicians, please fax referral and complete medical history to:
Referral Center Fax: 513-803-1111
Referral Center Toll-Free Fax: 866-877-8905