We have MPN Providers in your backyard
to accept your next referral

New Inland Empire Location in Colton is now open and accepting patients.

3 EASY WAYS TO REFER A PATIENT

EMAIL OUR TEAM

Email the required information below to: npic@ipmdoctors.com

USE OUR FAX LINE

Fax the required information below to:
925-691-9807

What we need to get started

Our must haves to get started:
  • 4600 Letter designating an IPM Provider or left blank
  • Patient Demographics (Name, DOB, Gender, Address, Phone, Email, Interpreter Needed)
  • Date of Injury
  • Insurance Information & Claim Number or EAMS ADJ#
  • Employer Information
If available please also send:
  • MPN Name & MPN Number
  • Adjuster and Contact Number
  • Authorized Body Parts
  • Medical Records If Available

Account Information

SUMMIT REFERRALS ONLINE

You can now submit referrals online and communicate with our intake team on your specific case.  Click the link below to get started. 

TRACK THE STATUS

Once you’ve created an account and verified your email address you can view the status of any referral you’ve submitted.