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PAIN MEDICINE Request for Consultation Form Department of Anesthesia P.O. Box 850 Hershey, PA 17033 Phone: 7175316834 Fax: 7175314143 PLEASE COMPLETE FORM AND FAX WITH SUPPORTING MEDICAL RECORDS TO

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What is penn state pain medicine?

Penn State Pain Medicine is a specialized medical department that focuses on the diagnosis and treatment of chronic pain conditions.

Who is required to file penn state pain medicine?

Healthcare providers and facilities who offer pain management services are required to file Penn State Pain Medicine reports.

How to fill out penn state pain medicine?

Penn State Pain Medicine reports can be filled out electronically or by using paper forms provided by the state.

What is the purpose of penn state pain medicine?

The purpose of Penn State Pain Medicine reports is to track and monitor the use of pain medications in order to prevent abuse and diversion.

What information must be reported on penn state pain medicine?

Information such as patient demographics, prescriber details, medication dosage, and diagnosis must be reported on Penn State Pain Medicine forms.

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