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 ‘Download’ button then choose “Save as…”. This will save the file locally on your computer.
New Patient Referral
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