LoDo Pain · Gilbert

Your evaluation request

A clear path from request to care.

1. Submit a request

Use the Request an Evaluation form to provide your contact information, coverage information, and the clinical details requested. Please do not use the form for urgent medical needs.

2. Administrative and clinical review

Our team reviews the information provided and any available records. We also review insurance eligibility, plan acceptance, referral or authorization requirements, and appointment availability before scheduling.

3. An individualized evaluation

If appropriate, an in-person evaluation in Gilbert helps establish goals and determine next steps. Treatment decisions depend on clinical findings, records, safety considerations, and your goals.

4. Ongoing care when appropriate

Care may include regular reassessment of function, benefit, risk, and safety. Submitting a request does not establish a provider–patient relationship or guarantee acceptance, an appointment, insurance coverage, or any medication, dose, or continuation of an existing regimen.

If you are experiencing a medical emergency, call 911. Evaluation requests are not monitored for urgent medical needs.