Referrals
Whether your patient needs an evaluation and treatment, consult, IME, or a specific procedure, we make the referral process stress-free. For more information, please click on the following links:
- PHYSICIAN REFERRALS
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At Physician Pain + Wellness, we know processing outgoing referrals can be time-consuming. That's why we've designed our unique 3-Step process. It's quick and easy. Because we know you have other things to do.
Complete Referral Form (fax cover sheet optional)
Download Fax Cover Sheet
Download Referral Form
Fax form(s), along with most recent progress notes and imaging reports, to:
770-752-9166 or 770-569-7007
We'll do the rest…
We'll contact your patient for scheduling and fax confirmation to you. Most referrals can be scheduled within 2-3 days. Same-day requests are honored when possible.Request Referral Form Tablets or Business Cards.
Questions? Contact our Referral Coordinator at 770-752-9499 EXT. 106.
- WORKER'S COMPENSATION REFERRALS
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At Physician Pain + Wellness, we know processing outgoing referrals can be time-consuming. That's why we've designed our unique 3-Step process. It's quick and easy. Because we know you have other things to do.
Complete Referral Form (fax cover sheet optional)
Download Fax Cover Sheet
Download Referral FormFax form(s), along with most recent progress notes and imaging reports, to:
770-752-9166 or 770-569-7007We'll do the rest…
We'll contact your patient for scheduling and fax confirmation to you. Most referrals can be scheduled within 2-3 days. Same-day requests are honored when possible.Request Referral Form Tablets or Business Cards.
Questions? Contact our Referral Coordinator at 770-752-9499 EXT. 106.
- INSURANCE COMPANY REFERRALS
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You need notes and referral orders right away.
Our EMR (electronic medical records) system allows immediate electronic faxing of notes and orders once completed, so you don't have to wait.
You need a physician who will provide effective pain relief and get your patient back on the road to recovery as soon as possible.
Dr. Danyo is a Diplomat of the American Academy of Pain Medicine and is Board Certified in Physical Medicine and Rehabilitation. Whether through medication management or non-surgical intervention, Dr. Danyo has treated injured patients for many years and knows how to successfully treat and document their pain and recovery.
- INDEPENDENT MEDICAL EXAM (IME) REFERRALS
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Dr. Danyo is certified by the American Board of Independent Medical Examiners.
Schedule an Independent Medical Exam (IME), SSI or Disability Exam
- FEE SCHEDULE FOR IMSs, DISABILITY EXAMS, DEPOSITIONS, ETC.
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Medical records (up to 125 pages) $25.00 Form completion $25 and up Disability Exam - New Patient $500 Disability Exam - ExistingPatient $400 Document review $150 Consultation (phone or onsite) 15 min. $150 Narrative report $250 IME examination and report * $800 * (large quantity of medical records may increase fee) Disability/Social Security evaluation and report - New Patient $500 Disability/Social Security evaluation and report - Existing Patient $400 Notary Fee $9.32 Deposition - Non-Video 1st Hour $1,500 - add'l 30 min. $500 Deposition - Video 1st Hour $2,500 - add'l 30 min. $500
