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Get Pain Programs Review Form - HealthPartners

Nary Day Treatment Phone number: (952) 883-7501 Fax number: (952) 853-8830 Definition: A multi-disciplinary intensive day treatment program for chronic pain will consist at a minimum of a physician with training and expertise in pain management, a behavioral health specialist, and a spine physical therapist. Please answer ALL of the following questions. This information is REQUIRED to determine medical criteria are met prior to program participation. Member Name: Member ID number: Patient.

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