Back and neck pain

Find information about our Spine Centers of Excellence (COE) program in the Provider Manual.
Go to a listing of the Spine Centers of Excellence.

On this page, you will find tools and information to help care for and educate patients suffering from back pain. These references coordinate with our Spine Centers of Excellence program.  

Click on any underlined name to download the file.

Back and Neck Pain
Clinical practice guidelines
Web site	Diagnosis and treatment of low back pain (from the Annals of Internal Medicine) Recommendations for managing patients suffering from low back pain Updated 10/2007
Practice management tools
	Spine Centers of Excellence Referral form (32KB PDF)  This optional form is for use by the PCP when referring to a physiatrist. It should not be sent to Priority Health. Updated 10/2007
	Surgical Prior Authorization form (29KB PDF)  This form is required when referring a back-pain patient to a neurosurgeon or an orthopedic surgeon. Updated 07/2008
	DVD tracking sheet (18KB PDF)  Use this tool to track what patients you've given shared decision making DVDs to, what DVD they received, and when it was returned.  Updated 09/2007
	Spine Centers of Excellence medical policy (56KB PDF) Updated 07/2008
Patient education
	Acute Low Back Pain questionnaire (51KB PDF)  Use this in conjunction with Acute Low Back Pain DVD. To use it, print it as two-sided and fold it in half. Created by the Foundation for Informed Medical Decision Making. Updated 09/2007
	Chronic Low Back Pain questionnaire (50KB PDF)  Use this in conjunction with Chronic Low Back Pain DVD. To use it, print it as two-sided and fold it in half. Created by the Foundation for Informed Medical Decision Making. Updated 09/2007
	Herniated Disc questionnaire (49KB PDF)  Use this in conjunction with Herniated Disc DVD. To use it, print it as two-sided and fold it in half. Created by the Foundation for Informed Medical Decision Making. Updated 09/2007
	Spinal Stenosis questionnaire (50KB PDF) Use this in conjunction with Spinal Stenosis DVD. To use it, print it as two-sided and fold it in half. Created by the Foundation for Informed Medical Decision Making. Updated 09/2007
Priority Health programs Priority Health's Spine Centers of Excellence (this link takes you to the Provider Manual) List of Centers and contact information Refer your patients to case management services: 616 481-9701

You'll need Adobe® Reader® software to view and print PDF files. Download it free now!