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Sydney Spine & Pain
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Sydney Spine & Pain
About
Our Team
First Visit
Conditions
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FAQ
For Health Professionals
Contact
Pain Management Referral
Expert in treating complex spinal pain, post-surgical pain and neuropathic pain conditions.
Referral Form
Patient Details
First Name
Last Name
Address
Address Line 1
Address Line 2
Suburb
Postcode
Date of Birth
Phone/Mobile
Problem(s)
Back Pain
Neck Pain
Shoulder Pain
Arm Pain
Thoracic Pain
Headache
Hip Pain
Knee Pain
Leg Pain
Additional Features
Neuropathic Features
Sympathetic Features
Post-Surgical Pain
Sleep Disturbance
Comments
Referrer Details
Referring Doctors Name
Provider No.
Referring Doctors Address
Address Line 1
Address Line 2
Suburb
Postcode
Referring Doctors Phone/Mobile
Appointment Details
Preferred Location
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Hurstville - Waratah Private Hospital
Randwick - Prince of Wales Private Hospital
Darlinghurst - St Vincent’s Clinic
Other Information
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(02) 9580 3380
About
First Visit
For Health Professionals
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Contact
Treatments
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External Resources
Sydney Spine & Pain
Our Team
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Nerve Blocks
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Multidisciplinary Pain Program
Regain Program
Sydney Spine & Pain Rehab
Contact Us
General Enquiries
(02) 9580 3380
Fax
(02) 9580 3370
Locations
Hurstville
Kogarah
Randwick
Darlinghurst