UPMC Pain Medicine Program

Refer a Patient

To refer a patient to one of our sites or doctors, please use the attached Referral Form (pdf format - see bottom of page).

For all referrals, please include all of the following information:

Patient demographics/insurance information
Radiology reports
Office notes

If you would like to refer to a specific physician, please include his or her name in your referral.

Centre Commons (suite 260) Fax: 412-665-8040 Phone: 412-665-8030	Centre Commons (suite 400) Fax: 412-665-8040 Phone: 412-665-8030	UPMC St. Margaret Fax: 412-784-5288 Phone: 412-784-5119	UPMC Passavant Fax: 412-367-6880 Phone: 412-367-6770
Edward K. Heres, M.D.	Cheryl D. Bernstein, M.D. Brian Cicuto, D.O. Jordan F. Karp, M.D. (Psychiatry) Debra K. Weiner, M.D. (Geriatrics, Int. Med.)	Scott A. Brancolini, M.D. Doris K. Cope, M.D. Nashaat N. Rizk, M.D.	Edward K. Heres, M.D. Alka Kaushik, M.D. Lisa Weidner, M.D.
Oakland campus Fax: 412-692-2235 Phone: 412-692-2234	Monroeville Fax: 412-374-7307 Phone: 412-374-7302	UPMC Mercy Fax: 412-232-4040 Phone: 412-232-4045
Scott A. Brancolini, M.D.	Zongfu Chen, M.D.	Gregg Weidner, M.D. Lisa Weidner, M.D.

Interdisciplinary pain rehab programs should have a referral faxed or called to: 412-665-8040 fax; 412-665-8030 phone.

PDF Help

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