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Old 07-31-2009, 05:56 AM   #1
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do you have to be referred by a doctor to pain manament doctor in the state of delawa

do you have to be referred by a doctor to pain manament doctor in the state of delaware

 
Old 08-01-2009, 08:15 PM   #2
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Re: do you have to be referred by a doctor to pain manament doctor in the state of de

Hi Dolphin. Generally speaking, it isn't so much an issue of whether the state requires it, but whether the pain management doctors require it. Some state boards of medical practice do have "rules" about referrals, but they are fairly loose. Really the only reason for a referral is so that the specialist has your medical background as provided by the referring physician; it's more of a convenience factor than anything. I'd call local pain management doctors and see if they require a referral. Good luck and let me know what you find out. I'm a chronic pain patient myself, so I know the hoops that you sometimes have to jump through.

 
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Old 08-02-2009, 07:49 AM   #3
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Re: do you have to be referred by a doctor to pain manament doctor in the state of de

it has been my experience and from what i have heard from other patients as well about the referrals? this is not like being referred to 'just" another type of specialist. even if your ins does not usually require any types of actual referrals, when it comes to a pain management facility, its kind of different from the norm in most cases. because of the huge possibility of having patients just pop in for something other than real true pain management, most will always require a direct referral from an actual doc with some type of actual documentation of the very real need for more advanced pain care than any other doc can offer the patient. its just the nature of the clinics in most cases Rxing the types of meds they do for the most part. and there very well could also be some level of DEA involvement there as well only becasue of the potential for diversion exists.

i just have really never heard of any pain patients being able to just look up a pain doc and set their own type of appt situation when it comes to PM. could be different where you live, but this i would think would be more the norm? also having that direct referral from a treating doc would help you to just give them an idea of all the different things that have been tried along with documentation of your true pain generators with some type of testing reports? just having a chat with your primary about wanting to go that route is usually enough to prompt the referral for you. if your current doc is also currently treating a pain condition with any types of actual narcotic therepy, they usually will be more than happy to have that liability off their own hands and pass it along to a PM too. i would just speak with your doc about this. good luck, marcia
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Old 08-02-2009, 03:18 PM   #4
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Re: do you have to be referred by a doctor to pain manament doctor in the state of de

I wouldn't necessarily discount the need for a written referral as a condition of your insurance. I agree that most pain management practices would want to see documentation and a history of previous attempts at a medical solution to their pain problem. Can't imagine just being able to phone up and expect to see a specialist as the first line of defense. Most folks come to the pain specialist after some history of trying to get relief through their primary care physicians. As far as I know, there is no State that can "require" a referral to any kind of physician. Thank goodness we are still a free country!!

 
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