Individual Self-Referrals

We are happy to treat self-referring patients with the following restrictions:

  • Each patient must use our online patient web portal for scheduling appointments.
  • If the management of narcotics is required, each patient must have a primary care physician. PCSO is not able to manage a patient’s narcotics without the involvement of a primary care physician.

Physicians Making a Referral to Pain Care Specialists of Oregon

Medical Providers – Referring your patient to PCSO may be done by simply faxing or emailing the completed referral form. Once received, your patient will be called within 24 hours to set up the initial evaluation at their earliest convenience. Additional time may be needed if prior authorization is required. If the case is of an urgent nature and an immediate appointment is needed, please call our office so we may assist you more quickly.

For your convenience, a copy of our referral form is available to be printed and handed out to your patients. If you prefer, we also provide an electronic referral form.

Please fax your saved and completed form to (503) 371-0805 or email

Insurance Coverage

We accept most major insurance plans, including Medicare, workman’s compensation, and motor vehicle policies. As a service to you, we will verify your insurance benefits and prior authorization before your first visit and procedures, provided the clinic is supplied with the necessary information. Below is a list of insurance companies for which we are providers. Those marked with an * are accepted as secondary insurance or Medicare supplemental insurance.

  • AARP
  • Aetna
  • Aetna Medicare Open Plan
  • Atrio Health Plans
  • Avamere Rehab Skilled Nursing Center
  • Bridgespan Health Company
  • Care Oregon Med. Advantage*
  • Care Oregon Personal Option*
  • Care Oregon Preferred*
  • Cigna Healthcare
  • Corvel
  • FirstChoice/ Shasta
  • Great West
  • Health Net
  • Health Net Medicare Advantage
  • HMA
  • Kaiser Permanente (Added Choice Plan)
  • Liberty Mutual
  • Liberty Northwest
  • Lifewise/ Premera
  • Marion Polk Community Health Plan
  • Marion Polk Medicare Advantage Plan
  • Medicare
  • Mid-Valley IPA
  • Mid-Valley Physicians Choice Advantage
  • Mutual of Omaha
  • ODS
  • ODS Medicare Advantage
  • OEA Choice
  • OHP/ OMAP*
  • OMNI
  • Oregon Health Co-Op
  • Oregon Health Systems
  • Oregon Youth Authority
  • Pacific Source
  • PacifiCare
  • PacifiCare Direct
  • PacifiCare PPO
  • Pemco
  • Providence Benedictine Skilled Nursing Center
  • Providence EPO/ MCO/ PEBB/ PPO
  • Providence Medicare Extra
  • Regence BCBS Access Blue
  • Regence BCBS Participating Provider Plan
  • Regence BCBS Preferred Provider Plan
  • Regence HMO Oregon
  • Regence Med. Advantage
  • SAIF
  • Samaritan Health Services
  • Secure Horizon/ Salem Clinic
  • Sedgewick
  • Titans Claims
  • TriCare/ TriWest
  • UHC Sierra Health and Life
  • UMR
  • UniCare Medicare Extension
  • United Health Care
  • United Health Care/ Evercare (Medicare Complete)
  • US Dept of Labor
  • VA Healthcare
  • Vehicle Accidents
  • Willamette Valley Health Plan
  • Workers’ Compensation and Motor




Make an appointment and we’ll contact you.