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Pain Management Center

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For Physicians


Print the Forms:

Fast Track Referral Form

Request for Consultation Form


Complete the Forms Online:

Request for Consultation

https://app.healthcare.utah.edu/PMCConsultationRequest/index.htm

Fast Track Referral

https://app.healthcare.utah.edu/PMCFastTrackReferral/index.htm


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Salt Lake City, UT 84108
801-581-7246, 801-581-6243
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