How to refer a patient
Download the referral form
The provider referral form is a one-page PDF. You can request a specific physician on the form.
Complete it
Referring provider information and patient information are required. Please include only the exam notes pertinent to this appointment.
Fax it to 980-498-3839
We will contact your patient for an appointment within 48 hours. We will notify you of their appointment if a fax number is provided.
Referral priority
EmergencyPlease call the office directly at 704-510-3100.
UrgentWithin 7 days.
Next availableThe first open appointment.