Case Managers

Welcome Case Managers! If you have a patient you would like to refer to Metro Spine & Rehab, please print the Patient Referral Form below and fax the completed form to 913.387.2970. We will call you to schedule an appointment as soon as we receive your faxed information.


To download files, please right click on the green ‘Download’ icon and choose “Save target as…”. This will save the file locally on your computer.


Note: If you are unable to view the form, download the free Adobe Reader.



New Patient Referral

Descriptive text regarding what the New Patient Referral form is and why it’s needed.





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10777 Nall Avenue, Suite 120 | Overland Park, KS 66211 | phone 913.387.2800 | fax 913.387.2970