Patient Referral
Form

To refer a patient to our Pain Management Team and/or Mental Health Professionals please fill out the form below. We treat complex pain conditions such as: neck pain, back pain, pelvic pain, chronic headache, migraine, fibromyalgia, arthritis and all other forms of pain. We also treat mental conditions such as: mood disorders, anxiety and brain disorders.

Once the form is complete fax it to our Dallas Office at 214-826-8000.
If you have any questions please call ( 214-826-8000)

PROGRESSIVE PAIN & INTERVENTIONAL PSYCHIATRY

Specialist and staff at Progressive Pain and Interventional Psychiatry provide cutting-edge adjunctive therapies to offer you relief from chronic pain, headache, and psychiatric disorders. We are your Dallas, TX Pain Relief Specialists

CONTACT INFORMATION

info@brianf29.sg-host.com

214-826-8000

12606 Greenville Ave, Suite 195
Dallas, TX 75243

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