The following information is designed to help patients prepare for their appointments.
These forms may be mailed, faxed, or uploaded.
To request a copy of your medical records be shared with Compass Pain and Spine from your non-Compass Pain and Spine provider, please print and complete the following form. (This form will authorize Compass Pain and Spine provider to receive your records from a non-Compass Pain and Spine provider.)
MEDICAL RECORD REQUEST AUTHORIZATION FORM - TO COMPASS PAIN AND SPINE
To request a copy of your medical records from Compass Pain and Spine to be sent to another provider or facility, please print and complete the following form. (This form will authorize Compass Pain and Spine provider to share your medical records with a non-Compass Pain and Spine provider or facility.)
MEDICAL RECORD REQUEST AUTHORIZATION FORM - FROM COMPASS PAIN AND SPINE
For our referrers' convenience, our referral form can be used as a coversheet to expedite scheduling and intake..