New Patients
Expect a Call
Complete the referral form, and ask your patient to complete the new patient forms.
Our friendly referral coordinator will contact your patient to let you know we’ve received the information and get their appointment scheduled
Download (or pick up) the Referral packet
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We exist to help our patients reclaim relief and function so they can live life not limited by pain
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Send it in
Download the Referral packet
For Referring Providers
Download and print the new patient referral packet. Online referral form coming soon!!
Ask your doctor to send in the referral form, along with any additional documents to UCPMKreferrals@utmck.eduor fax to 865-305-4025
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***NEW***
Send your referrals to UCPMKreferrals@utmck.edu.
Our new secure dedicated email for referrals.
Expect a Call!
We accept patients by clinician referral
Referral Coordinator
Gretchen Crowell
865-305-7759 Office | 865-305-4025 Fax
UCPMKreferrals@utmck.edu
Ask your doctor to send in the referral form, along with any additional documents to UCPMKreferrals@utmck.eduor fax to 865-305-4025
Fill it out
Download and print the new patient referral packet (or you can come by our office to pick one up!) – Online referral form coming soon!!
Comprehensive Treatment
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Fill it out
Send it in
1934 Alcoa Hwy, Bldg. D, Suite 474, Knoxville, TN 37920
Office (865) 305-8684 * Fax (865) 305-4025 * Email: UCPMKreferrals@utmck.edu
A Division of University Anesthesiologists, PLLC
Our friendly referral coordinator will contact you and/or your clinician’s office to let you know we’ve received the information and get your appointment scheduled.
Interventional Treatment
Complete the patient forms and ask your clinicians’ office to complete the front referral sheet. Be sure to sign a records release for any other pain-related records
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For Patients