Referral Services

Thank you for trusting Enid Pain & Spine with your patients’ pain management needs.

We make referrals fast and easy—submit electronically, by secure email, or via fax. Our team will promptly contact your patient to schedule.

Submit Electronic Referral


Timely Scheduling


Most referrals are contacted within 1–2 business days.*

Download Referral Form (PDF)

Insurance Friendly

We work with a wide range of plans. See details below.

*Actual timing may vary based on insurance authorization and patient availability.

How to Refer

1) Electronic Referral



Use our secure online form to send patient details and attach records. HIPAA‑ready and quick to complete.


  • Demographics & contact information
  • Primary pain diagnosis & duration
  • Imaging/labs (if available)
  • Medication list & allergies
  • Insurance information
  • Referring provider contact
Start Electronic Referral

2) Email or Fax


Prefer a traditional workflow? Download and complete our PDF referral form and send via secure email or fax.


  • Secure referrals email: [SECURE_REFERRALS_EMAIL]
  • Fax: [FAX_NUMBER]



Download Referral Form

What Your Patient Can Expect

Timely Outreach

Our scheduling team contacts the patient to arrange the earliest available appointment at our clinic.

Comprehensive Evaluation

This is the text area for this paragraph. To change it, simply click here and start typing. 

Collaborative Updates

Referring providers receive visit notes and treatment recommendations. We welcome co‑management.

Insurance & Authorizations

We verify benefits and obtain necessary pre‑authorizations. Patients are informed of any out‑of‑pocket costs in advance.

Insurance & Coverage
We accept many commercial insurance plans and Medicare. Coverage can vary by plan. Please call our team to confirm participation and any referral/authorization requirements.


  • Insurance questions: [INSURANCE_PHONE] (Mon–Fri, 8:00am–5:00pm)
  • Tax ID / NPI: [TAX_ID] / [NPI]

Enid Pain & Spine – Referrals


Phone: [REFERRALS_PHONE] • Fax: [FAX_NUMBER]


Secure referrals email: [SECURE_REFERRALS_EMAIL]


Address: [CLINIC_ADDRESS_LINE_1], [CITY_STATE_ZIP]


For urgent cases, please call us directly. If this is an emergency, dial 911.