77 - When to Refer Patients Out

Hosts Paul Andrews and Dr. Mark Davini explore when chiropractors should refer patients out, how to build collaborative relationships with orthopedists, neurologists, primary care, imaging centers and physical therapists, and when additional testing (MRI, electrodiagnostics) or co‑treatment is appropriate.

Referencing guest perspectives like Dr. Bill Owens and clinical experience, they cover practical guidelines—recognizing inadequate response (notable improvement within about two weeks), signs of space‑occupying lesions, reimbursement realities, and effective communication with other providers.

Key takeaways: referring is part of modern patient‑centered care, it doesn’t mean losing the patient if you maintain communication, and timely referrals protect patients and reduce liability while improving outcomes.