Making a referral within U.S.

Insurance constraints have made difficult referral authorizations made by physicians and nurse care managers for chronic pain management services, especially pain rehabilitation programs and clinics. In California and other states insurance carriers are increasingly resorting to guidelines and criteria promulgated by the American College of Occupational and Environmental Medicine (ACOEM, 2004), Genex, and the Official Disability Guidelines (ODG). This is especially true of worker's compensation cases. To simplify your efforts at referral we have summarized the most frequently accepted criteria for referral to comprehensive pain management programs.

If you wish to make a referral to Pacifica for comprehensive pain management services, it is recommended that you consider using our referral form which complies with the above criteria. Please click here to review the referral form. You may download and print this form for your direct use if you so desire

Given the way of limited availability of pain programs in the United States, which follow the below treatment standards, we are more frequently assisting in the referral and treatment of patients from diverse regions:
  • multidisciplinary medical staff
  • in-patient hospital based evaluation (for 26 day program)
  • residential out-patient treatment coordinated with in-patient care
  • strictly non-narcotic approach
  • two program options: 14 day or 26 day program
  • one year follow-up available coordinated with community M.D.
  • over 23 years of continuous pain clinic operation
Please click here for contact information in the event you desire discussion regarding your case or would like to fax or mail you referral form.