Iowa Specialty Hospital

Pain Management (Interventional): Pain Management Referral Form

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We work closely with referring providers to ensure that each of our patients receives the individualized care they deserve. Please complete the referral form below and fax to 515-532-3119.

Provider Referral Form

A member of our team will reach out to your patient promptly once this information is received. We appreciate the opportunity to work with your patients for their pain management needs.

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