1331 N 7th St #405 Phoenix, AZ 85006
Phone: (602) 254-3151

Arizona Neurosurgery and Spine Specialists

How to Refer a Patient

The goal at Arizona Neurosurgery & Spine Specialists is to return our patients to as full function as surgery, treatment and rehabilitation will allow. For referring physicians, you can trust that we will provide precisely the level of care that you expect from your own practice, and that we will communicate clearly and consistently about your patient's status.

To make a referral, to inquire about the health insurance plans we accept, or to learn more about our specific neurosurgical services.

We have provided a Neurosurgical Consult Request Form in a pdf format for your convenience.

IMPORTANT: PLEASE FAX to (602) 256-9581.

1. A copy of the front and back of the Patient's Insurance Card

2. Authorization or Referral

3. All MRI, CT, EMG/NCV, Myelogram, Plain X-Ray Reports & last three Office Notes Our office will contact the patient to schedule an appointment. We will return this form to your office with the appointment date/time noted below. Please do not send films prior to the consult. It is the patient's responsibility to bring their films to the appointment. If the patient does not speak English or Spanish, they must bring a translator.

PLEASE CALL OUR OFFICE FOR ADDITIONAL FORMS at (602) 254-3151

Phoenix, Arizona Location

1331 N 7th Street Suite 405
Phoenix, Arizona 85006

(602) 254-3151
(602) 256-9581

Map & Directions

Peoria, Arizona Location

9139 West Thunderbird Rd., Ste. 275
Peoria, Arizona 85381

(602) 254-3151
(602) 256-9581

Map & Directions

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