We appreciate referrals received from private health care clinicians. We will work diligently to create timely appointments and give the highest level of patient care available.

A full patient report will be sent to your office once the initial evaluation has been completed; we will also keep your office abreast of any scheduled surgeries or procedures for your patient.

To facilitate patient care and timely appointments, please download this form and fax it to us.

Fax: 919-668-6036

By sending this referral, you certify that you have contacted your patient and they have agreed that we may contact them directly to facilitate a timely appointment.

Patient Referral Form (PDF, 511 KB)