Please include the following with your referral:
To increase the efficiency of the referral process, referring providers are requested to include in their order:
- Referral Form
- Audio-gram if performed in the last 12 months
- Reports from: MRI of Brain, MRA of Brainstem and/or CT of Head
- Patient Demographics
- Insurance Information/Copy of Insurance Cards
Please Fax your referral:
( 816) 286-2774
Upon the receipt of your referral, our Patient Coordinator will contact your patient within 24 hours to offer him/her an appointment. During that phone contact, our specially trained staff will take time to discuss the ordered tests and answer questions, with the intent to increase each patient’s understanding and comfort. We will also send a packet of information to your patient, to include appointment confirmation, a map to our clinic, general information, and clinical symptom surveys.
Our Patient Coordinator will then fax the referring physician and staff a note to confirm receipt of the referral. This note will provide you a status report for your patient by alerting you to your patient’s scheduled appointment date. If your patient cancels his/her evaluation or does not show to the appointment, another letter indicating his/her absence will be faxed to you.
Following Evaluation, the Mid America Balance Institute Report will be faxed to the Referring Physician and the patient’s Primary Care Physician. The report will include test data, post test impressions, and options & recommendations for possible treatment.
We recommend that every patient return to their referring physician for medical management.
Our staff is available for assistance at any point during the referral process.
We are as close as the phone…
Call (816) 246-1456