Spine and pain management referral systems that work.
Educate referring providers on when and how to send ideal spine and pain cases your way.
Exclusivity for Spine and Pain Management in your market. We never work for your competitor.
Who we educate for you
- Primary care physicians
- Orthopedic surgeons
- Physical therapists
- Chiropractors
- Urgent care centers
Plus any other provider in your market who sees your ideal patients first.
Cases we help you attract, for example
Does this sound familiar
You should not be this busy and not as profitable as you want to be.
You deserve referrals that match the procedures you do best.

- 01Your schedule fills with patients who are not candidates for your procedures.
- 02Referring providers are unsure what you treat and when to send.
- 03Competitors are closer to the PCPs you need.
- 04Marketing brings volume, but not the right cases.
There is a smarter way
Referral partners who know exactly when and why to send patients to you.
Not just more patients. Clear, consistent, confident referrals for the cases you want.

Better aligned referrals
We teach referring providers which patients are right for your care and when to send them, so fewer visits go nowhere.
Aligned patient volume
Stop spending time on patients who do not need your care. Fill your schedule with the cases you are good at and paid well for.
Increased profitability
Higher value cases mean you earn more for the time you already invest. Grow strategically, not by working longer hours.
How it works
A proven plan to build your ideal spine and pain practice.
You bring the clinical excellence. We bring the blueprint and the team to build it with you.
1Schedule a free referral evaluationWe review your current referral base and show you the areas of opportunity and profit enhancement.
2Choose your pathA turn-key system, on demand training, expert coaching, or one on one consulting with Dr. Dave.
3Attract your ideal patientsA system that consistently brings the cases that grow your practice and your profits.
You do not have to figure this out alone
Meet Dr. David Rominski
"I know how exhausting it is to rely on a mix of half baked strategies and low yield networking to grow your practice. I have been there."
Dr. Rominski created a referral system that filled his schedule with the right patients. It helped him scale and sell his practice, and he has spent the last 15 years helping providers across the country do the same, backed by a nationwide team of referral specialists.
Choose the support that fits your practice.
Compare all programsTurn-Key Referral System
We identify the right partners, educate them on your ideal cases, and handle all outreach, tracking, and follow up.
- Custom referral strategy
- On the ground outreach from a rep local to your market
- Detailed reporting
- Exclusivity in your market
Best for busy practices that want results without hiring or managing staff.
Referral Growth and Profit System
The strategies we have used with thousands of doctors, in a step by step program you run at your own pace.
- Full training library
- Systems, scripts, workflows, and playbooks
- Access within 12 hours
- Use with your team or on your own
Best for doctors who have the time and are ready to act now.
System + Expert Coaching
100% money back guaranteeThe full program plus ongoing coaching from Dr. Dave or a certified advisor for accountability and results.
- Everything in the on demand program
- Personalized coaching calls
- Strategy reviews and implementation support
- Custom CRM with reporting, with access to our CRM
- Exclusivity in your market
Best for practices that want expert guidance to optimize outcomes.
Fractional CRO Consulting
Dr. Dave works alongside you as your fractional Chief Referral Officer, leading strategy and coaching your team.
- Customized growth strategy
- One on one with Dr. Dave
- Oversight of outreach and performance
- Exclusivity in your market
Best for practices ready to scale fast and profitably.
Spine and Pain Management referral marketing
How pain management practices get more referrals.
Who refers to pain management practices
Spine and Pain Management referrals come from a predictable set of providers. The practice that is known to these offices, easy to refer to and consistent about communicating back gets the majority of their pain management cases. The list for your specialty:
- primary care physicians
- urgent care centers
- chiropractors
- physical therapists
- orthopedic and neurosurgeons
- workers compensation case managers
- oncologists
- rheumatologists
Why pain management referrals go to a competitor
Primary care physicians want to refer chronic pain patients out, and they will send them to whoever makes that easy and manages the patient well. The pain practice that is visible to PCPs, takes referrals quickly and communicates back owns the channel. Everyone else gets the overflow.
What a physician liaison does for a pain management practice
A pain management liaison works the full referral chain: PCPs and urgent care for new chronic pain patients, chiropractors and PTs for patients who plateau, and surgeons for pre and post operative pain management. The liaison also makes clear what the practice does and does not do with medications, which reassures referring physicians.
How Doctor Referral Institute builds pain management referrals
We start with a map of every office in your market that should be sending you epidural steroid injections, radiofrequency ablation, spinal cord stimulation, kyphoplasty, joint injections and medication management. A referral specialist builds the visit plan and a local rep works it every week, in person. Every visit is logged and you receive a weekly report: offices visited, who was seen, what was said and which sources have started referring. Exclusivity is one pain management practice per market, so every relationship built in your area is built for you.
Read more about physician referral marketing, physician liaison services and how to get more physician referrals, or book a free referral evaluation for your pain management practice.
Questions about pain management referrals
How do pain management practices get more referrals?
Make the referral easy, see the patient quickly, communicate back to the referring doctor and keep your practice visible with weekly in person visits. We run the visits and reporting for you.
Do chiropractors and physical therapists refer to pain management?
Yes. Both see patients who are not improving with conservative care and need interventional options before surgery.
How do we address PCP concerns about opioids?
By being clear and proactive. Our reps explain your interventional focus and medication policies so referring physicians know what to expect.
Is the program exclusive?
One pain management practice per market.
Free evaluation
Is your market still open for pain management?
One practice per specialty per market. Find out in a 20 minute call.
Pick a timeLet's stop chasing and start attracting
The answer usually is not more patients. It is the right ones.
Let's build the referral system your spine and pain practice deserves. Exclusivity is limited to one practice per specialty per market.
Other specialties
