Referring Your Patient

To refer your patients to Willamette Pain & Spine Center, complete our Referral Request Form and fax it to us at (503) 512-1220. Our New Patient Coordinator will contact your patient and schedule a consultation.


Effective March 1st, 2019, we can no longer treat Medicaid patients at Willamette Pain and Spine Center. Although we have not been direct Medicaid providers in over 4 years, we have been able to help in the treatment of commercial patients under the Oregon Health Plan. The guidelines have changed and the Oregon Health Plan will no longer cover office visits or care as we are not in-network.

What this means is that we will need to refer patients back to their Primary Care Providers (PCP) as the Oregon Health Plan requires that a new referral be submitted via the PCP to become established elsewhere. Please feel free to read the letter here that we’ve provided to our patients explaining why and answering some common questions. Thank you for your understanding during this time of transition.

All scheduled appointments require a physician referral. Referral and authorization from the patients’ health plan may also be required. Patients should check with their insurance carrier to ensure coverage. Please assist us by providing the following information when submitting the Referral Request Form:

  • Referral Request Form (new)
  • Copy of Insurance Card
  • Recent Chart Notes
  • Recent Diagnostic Imaging
  • Recent Physical Therapy Notes
  • Letter to Specialists: This form may be delivered to your primary care provider regarding the prescription of medications.