
For Physicians
Refer a Patient to Michigan Spine & Pain
Thank you for trusting Michigan Spine & Pain with your patient’s care. Our team works with referring physicians, specialists, and healthcare providers to help patients find the right next step for pain management, functional support, and ongoing symptom relief.
Please use the referral form below to download and fax patient information to our team. Once we receive the referral, we will review the information and contact the patient to discuss scheduling.
Patient Referral Form
To help our team review the referral, please include the following when available:
- Patient name, date of birth, and contact information
- Insurance information
- Reason for referral
- Current medical records
- Relevant imaging reports
- Lab results, if applicable
- Current medication list
- Any prior treatment notes related to the concern



Conditions and Concerns We See
Michigan Spine & Pain evaluates and treats a wide range of pain and functional concerns, including back pain, neck pain, joint pain, nerve pain, radiating pain, spinal stenosis, herniated discs, neuropathy symptoms, arthritis-related pain, and chronic pain after injury or surgery.
Our services include interventional pain procedures, regenerative medicine, physical therapy, chiropractic care, non-surgical spinal decompression, laser therapy, EMG testing, and other supportive options.
After You Refer
After we receive the referral, our team reviews the patient’s information and reaches out to help coordinate the next steps. If we need additional records, imaging, or insurance details, we will contact the referring office or the patient.
For questions about a referral, please contact our office directly.
Contact Our Team
After we receive the referral, our team reviews the patient’s information and reaches out to help coordinate the next step. If we need additional records, imaging, or insurance details, we will contact the referring office or the patient.
For questions about a referral, please contact our office directly.
Main Scheduling Line: 1-800-586-7992
Mount Pleasant Office
Phone: 989-772-1609
Fax: 989-773-6279
Address: 2935 Health Pkwy, Mt Pleasant, MI 48858
Hours: Monday to Thursday, 8 a.m. to 5 p.m.
West Bloomfield Office
Phone: 248-851-PAIN (7246)
Fax: 248-851-7223
Address: 6079 W Maple Rd, West Bloomfield, MI 48322
Hours: Monday to Thursday, 8 a.m. to 5 p.m.