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About Us
  • About PSSM
  • Meet the Team
  • Services
  • Location & Contact Us
For Patients
  • Patient Information
  • Resources
For Providers
Patient Portal & Bill Pay
  • Patient Portal
  • Online Bill Pay

Perkins Spine and
Sports Medicine

Perkins Spine and Sports MedicinePerkins Spine and Sports MedicinePerkins Spine and Sports Medicine
Home
About Us
  • About PSSM
  • Meet the Team
  • Services
  • Location & Contact Us
For Patients
  • Patient Information
  • Resources
For Providers
Patient Portal & Bill Pay
  • Patient Portal
  • Online Bill Pay
More
  • Home
  • About Us
    • About PSSM
    • Meet the Team
    • Services
    • Location & Contact Us
  • For Patients
    • Patient Information
    • Resources
  • For Providers
  • Patient Portal & Bill Pay
    • Patient Portal
    • Online Bill Pay

Perkins Spine and
Sports Medicine

Perkins Spine and Sports MedicinePerkins Spine and Sports MedicinePerkins Spine and Sports Medicine
  • Home
  • About Us
    • About PSSM
    • Meet the Team
    • Services
    • Location & Contact Us
  • For Patients
    • Patient Information
    • Resources
  • For Providers
  • Patient Portal & Bill Pay
    • Patient Portal
    • Online Bill Pay

Forms & authoriazation

FORMS
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AUTHORIZATIONS
Need more information to complete your authorization?

Please see our Referral Form for guidance on the procedure codes we utilize.
PSSM TIN - 93-2014977
PSSM NPI -  1578249157 


Referral Form (docx)

Download

New Patient Paperwork (pdf)

Download

Our Partners

PSSM Ohio

p. 614.591.0020 f. 614.956.7011

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