For Referring Providers | Midwest Spine & Brain Institute Minnesota
Spine Care
Make a Direct Referral for Your Patient

Make a Direct Referral for Your Patient

How to Make a Direct Referral for Back or Neck Pain (Spine Care):

If your patient needs to see one of our Spine care specialists you may directly refer your patient to our specially trained Mid-level Providers and /or our Orthopaedic Spine Surgeons for evaluation and recommendation for treatment.We have several locations for the convenience of your patients.

How to Make a Direct Referral for a Procedure (Injection):

If your patient needs an epidural or nerve root injection or treatment of facet joint-related pain you may directly refer your patient for the procedure, providing the relevant imaging studies have been completed and their presenting symptoms correlate with structural pathology.

For direct referral for procedure please include the following items:

Provider Referral Form-Procedure

  • Most recent chart note addressing concern for which the referral is made.
  • Any relevant imaging reports including x-ray, MRI or CT scan.
  • Face sheet with demographic information.
  • Patient medication and problem list.