Refer a patient
We Thank You!
Igor Smelyansky, MD
Medical Director – Omega Pain Management, PC
The medical insurance referral form for the physicians can be downloaded by clicking on the link to the top of this page.
Workers Compensation Insurance
Referral form for the patients that are covered by Workers Compensation Insurance can be found by clicking on the link on the top of this page. We will contact the Workers Compensation Insurance case worker in order to get prior authorization to see the patient.
Referring office is asked to mail or fax medical records, demographic form, copies of the front and back of the insurance card as well as recent X-rays or MRI reports pertinent to patient’s problem directly to our office:
Omega Pain Management | 6348 Lonas Spring Drive | Knoxville, TN 37909 | FAX: (865) 312-8350
If the medical provider would like to have a supply of our referral pads on hand, please feel free to call our office and we will mail them to you that very day.
Completed initial consultation report will be mailed or faxed back directly to the referring medical provider’s office within 48 hrs of day the patient is seen. In the unfortunate case when the patient has to be dismissed from our practice (such as in the instance of failed urine drug screen), Dr Igor Smelyansky will try to communicate with the referring provider and explain the situation. This way there is no misunderstanding between our clinic and the referring provider and it keeps the lines of communication between offices open.
We are looking forward to establishing a long-term relationship with your office for many years to come.
Thank you for choosing Omega Pain Management !