Please click on the link below to print our Referral Form (pdf).

After completing it, please fax it along with the patient’s insurance card(s) and medical records (including most recent office note, labs, cultures, x-rays, or anything else pertinent to the patient’s condition) to Fax 704-688-0035.

Referring Physicians Form

We have good news….In order to better respond to the needs of our referring physician offices, we have made changes to our appointment schedule to better accommodate emergent or urgent same-day or next-day requests.  Thank you for entrusting the care of your patients with us!