For Referring Physicians

The goal of our team at Revival Pain Management is to exceed our referring physicians’ expectations by continually improving our processes and services. Our credentials in professional pain management speak for themselves, but it is our patient care that causes referring physicians to continue utilizing our services. When referring your patients to the Revival Pain Management, you can be assured that:

  • We will always strive to collaborate with you and your patient when selecting the best pain treatment plan.
  • Our board-certified physicians and professionally trained staff continuously stay current on new and proven treatment methods, and will use the most appropriate comprehensive and state-of-the-art treatment options.
  • Through providing patients with comprehensive pain management options, we strive to safely and effectively improve their pain, function and well-being.
  • Before taking on your patient, our physician(s) will review your referral form and provided records to make sure the needs of you and your patient can be properly addressed by Revival Pain Management.

Now Accepting New Pain Management Referral patients!

For over 20 years Revival Pain Management has been providing high quality, comprehensive pain management solutions to physicians and patients across North Carolina and surrounding region. We are currently taking on new referral patients in our Elkin, North Carolina location.

Please download and complete the Referral Form below, and fax it to 336-835-5337: