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Referral Procedure

Treatment is available to all patients by physician referral only. The referring physician should complete the Physician Referral Form and send this form to the clinic along with any pertinent medical records for referral. Our physicians will review the completed form and the provided medical information to determine if the patient will benefit from our services. If appropriate, the patient will be contacted by our staff to schedule an appointment. If we feel that we have nothing to offer, we will contact your physician directly.

Mailing Address:

Director, Pain Management Services
Penn State Milton S. Hershey Medical Center
PO Box 850, HU28
Hershey, PA 17033

The Physician Referral Form and pertinent medical records may also be faxed to the clinic at: 717-531-4143

Questions or inquiries may be made by calling the Pain Management Center at 717-531-6834.