A Proven Resource for Patients in Pain

To refer a patient, simply complete and submit the encrypted, HIPPA-compliant online form below. A patient referral for a procedure can also be submitted by printing the Patient Referral Form and faxing it to 763.767.7193. Please include the order, clinic notes, MRI, other imaging and patient demographic information. For urgent situations, we will do our very best to see your patient the same or the next day.

To refer a patient for an evaluation, please use the online New Patient Evaluation Referral Form.

If you have a patient struggling with chronic pain and you would like to discuss the case, please call our
Provider Hotline at 763.537.1000

Refer a patient – Procedure only

Process for procedure only referrals:

Once we receive the form, a Nura patient care coordinator will verify insurance, procure authorization immediately and then contact the patient to schedule the procedure. After the patient is seen, we will communicate the procedure notes back to you.