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Provider Referral

Refer a patient to Lazar Spinal Care.

We'll reach out to your patient within hours, schedule them, and keep your office in the loop.

Why refer here?

Your patient has probably already been told their scans are "normal" or that there's not much more to try. When you send them to us, you're the one who found the piece everyone else missed — an upper cervical misalignment disrupting the very nervous system that runs everything else. We take it from there: a real assessment, an honest answer, and if we're a fit, a clear path forward. If we're not, we tell them that too, and we keep you in the loop either way.

Patient Screening

Not sure if your patient is dealing with autonomic dysfunction? +

Try Bell's free autonomic screening tool — 2 minutes, shareable with your patient.

Open Bell's Screening Tool →

Your Office

We'll remember this on your device for next time.

Your Name

Required

Clinic

Required

Office Phone

Required — for our team to reach yours

Admin / Staff Email

Required — for clinical updates and questions

Specialty (optional)

Patient Info

First Name

Required

Last Name

Required

Patient Mobile

Please enter a valid phone number

Patient Email

Required — so we can email them too

Date of Birth

Required

Age (optional, auto-fills)

What do they need help with?

Areas of concern (select any that apply)

Headaches / Migraines

Neck pain

Low-back pain

Sciatic pain

Dizziness

Trouble sleeping

Anything else we should know? (optional)

Please select at least one concern above or share a brief reason for the referral

Finish the Referral

Type of Referral

Consultation only

A conversation with Dr. Lazar to discuss the patient's concern.

Consultation + Evaluation

Consult plus a full Posture IQ and neurological assessment to identify what's contributing to symptoms.

Consultation, Evaluation + Care if indicated

The full pathway — consult, evaluation, and a care plan if QSM3 is a fit for them.

Please choose a referral type

Communication

Send clinical updates to my office on this patient's progress

🔒 Patient info goes securely to Dr. Lazar's team only.

✓

Referral Sent

Thank you so much.

We'll reach out to your patient within hours and update your office once they're scheduled.

Message for your patient copy & paste into your portal or email

—

Patient receives a welcome text within seconds.
Your office gets a confirmation text shortly.

Questions? (734) 274-5107

💻 Put this on your desktop A real wallpaper you'd actually want, with a small referral card in the corner +

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The Lazar Method · What your patient can expect

Your patient's path to corrective care

step by step

Here's the journey your patient moves through with us — so your team knows exactly what you're referring them into.

Not sure it's the right fit? They can start with a free Clarity Call — no exam, no pressure.

01If applicable

Clarity Call

A brief phone call before they come in

Their questions answered

Confirm they're a good fit

New Patient Visit

Consultation

Posture IQ assessment

Functional nerve scans

Digital X-ray

Doctor's Report of Findings

Findings explained clearly

A personalized plan of care

Or an honest explanation of why, if our care isn't the right fit

Either way, we stay in contact with you as the referring provider

Corrective Care Begins

Gentle, precise corrections

No twisting or popping

Progress checked at every visit

Scheduled nerve re-scans and follow-up X-ray studies

From clarity call to corrective care

Provider FAQs

Common questions from referring offices

What if my patient isn't a fit for corrective care?

We'll tell you and your patient honestly. If QSM3 corrective care isn't the right fit, we'll say so at the Report of Findings — no upsell, no runaround — and help point them toward the right kind of care. Either way, we keep you in the loop as the referring provider.

How quickly will you see them?

Most referred patients are contacted within hours and scheduled for their New Patient Visit within a few days. If you flag something time-sensitive, let us know in the referral and we'll prioritize it.

Will my office get updates on their care?

Yes — check "Send clinical updates to my office" on the referral form and we'll keep your team posted as your patient moves through evaluation, findings, and care.

What conditions do you typically help with?

Headaches and migraines, vertigo and dizziness, neck and back pain, sciatica, POTS and dysautonomia, and a range of nervous-system-related concerns — the full list is in the "Areas of concern" section above. If you're unsure whether something fits, ask — or send them in for a Clarity Call.

What does the initial visit cost?

Cost depends on the referral type you select (consultation only vs. consultation + evaluation) and we'll always go over it directly with your patient before anything is scheduled — no surprises for them or your office.

Can I refer more than one patient?

Absolutely — just submit this form again for each patient, or call our office directly and we'll take it from there.