Referrals

Capital Injury Group makes the referral process simple and efficient for providers, attorneys, and case managers. Referral forms are available online and can be completed at your convenience from your office.

• All forms are PDF files. You will need AdobeReader® to view them.
• If you do not already have AdobeReader® installed on your computer,
  Click Here to download.

Once the appropriate referral form is completed, please upload it using the form below. The completed form can be sent with the referred individual for their initial evaluation. This streamlined process helps ensure timely scheduling and coordinated care through our interventional pain management team.