We at PRIDE know that you want the best for your patients. Please browse around this site to make sure we are the right choice for you, then contact us to make a referral.

4 Easy Ways to Refer a Patient for PRIDE Services:




via our Contact page


Download the pdf-iconReferral Form and Fax to 214.351.6453.

Online Form

Click Here (or just scroll down)
Our goal is to help patients improve their functioning and quality of life through a highly individualized, hands-on comprehensive program.

Referral via Online Form

Referring Information
Financial Class

Chronic Pain Management

*includes medication management, physician care, nursing, physical and occupational therapy, case management, biofeedback, psychology, education, MMI and IR when applicable and post-program follow-up.

Other Services

Physician Preference

*As a service to you, this office will handle all pre-authorization requirements. Please fax this form with patient demographics, all diagnostics, first and last medical reports, operative notes and any impairment/MMI information.

REV 01/06/2017