Provider Referral &
Records Request Form
Governed Chronic Pain Medication Management
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About Us
LoDo Pain provides structured chronic pain medication management, consultation services, transition-of-care support, and telemedicine services throughout Arizona. Referrals are reviewed individually by LoDo Pain providers based on clinical appropriateness, operational capacity, and practice policies.
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How to Refer a Patient
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To submit a referral, please complete our secure online referral form below...
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IMPORTANT NOTICE:
Submission of a referral does not guarantee acceptance into the practice. Patients are evaluated through a structured intake and clinical review process. Eligibility, onboarding timing, and treatment decisions are determined by LoDo Pain providers based on clinical appropriateness, patient safety considerations, operational capacity, and practice policies.
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