Patient Eligibility Tool
UCLH Pain Management Centre, located at the National Hospital for Neurology and Neurosurgery is an internationally recognised centre of excellence for people with longstanding pain. We have a multi professional service made up of doctors, nurses, physiotherapists and psychologists - providing help to minimise pain where possible and maximise quality of life.
Fill out the patient eligiblity questionnaire below
You will receive an email with the outcome of the questionnaire in a PDF
You can then send the PDF to that centre to get your patient referred
Please enter your email address to receive a PDF version of the eligibility form
Input your email address
Nevro do not retain this information or use these details to make contact or for any marketing purposes.