Refer Your Patients to RELATYV

A non-invasive, non-pharmaceutical, non-surgical solution for chronic pain, designed to support your care, not replace it.

Refer a Patient

How Our Referral Process Works

Seamless, Fast, and Transparent

01

Submit Referral

Use our secure form or downloadable packet

02

Insurance Verified

We handle eligibility and benefits

03

Consultation

Our team consults with you on treatment options

04

Patient Contacted

We guide them through scheduling

05

Ongoing Collaboration

You stay informed every step of the way

Refer a Patient

Why Providers Trust RELATYV

Built for Collaboration, Backed by Results

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No opioids. No unnecessary procedures.

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Conservative, outcomes-based pain relief

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Patients are always referred back for continued care

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Full clinical transparency with measurable progress

Learn About Neuragenex Protocols

Conditions & Specialties We Support

Partnering with Providers Across Specialties

Submit a Referral

Ready to Refer a Patient?

Physician's Information

Patient's Area of Pain(Required)

Patient's Information

RELATYV.com is committed to protecting and respecting your privacy, and weโ€™ll only use your shared information to administer your account and to provide the products and services for the patient referenced above.

By clicking submit below, you consent to allow RELATYV.com to store and process the personal information submitted above to provide your patient with the applicable followup to best serve them, and you are providing express consent to be contacted by RELATYV via SMS, possibly using automated technology to the number you provided. If at any time you wish to opt-out of communication, please reply "STOP". Text "HELP" for help. Message frequency may vary. Message/data rates may apply. Submission of this form does not authorize the purchase of goods, services, or products. See the Privacy Policy/Terms of Use on the webpage

Need Assistance or a Live Consultation

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