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You are here: Home > Patient Information > Peyronie's Disease > Referrals

Referrals

Referring physicians can refer patients by contacting the Urology New Patient Coordinator, Katrina Harris, at 919-966-8802. 

Required Patient Information

  • Patient's full name
  • Address
  • Phone number(s)
  • Date of birth
  • Social security number
  • Diagnosis or explanation of the current medical problem
  • Insurance coverage
  • Scheduling preferences

 

Required Referring Physician Information

  • Name
  • Address
  • Phone number
  • Specialty
  • Pertinent medical records detailing patient's medical history and diagnosis, faxed to 919-966-5289.

 

A consultation with a Urologist can be arranged by contact the Carolina Consultation Center at 800-862-6264 and asking for the Urologist on call.