Thank you for allowing us to participate in your patient’s care! After completion of the New Patient Referral form below, please fax to (919) 966-6627 and include copies of the patient’s records. Upon receipt, we will contact you with a date and time of appointment and will forward the necessary information to the patient.
Click here for the New Patient Referral form.
New Patient Referral Coordinator
Ms. Shama Turrentine
Tel: (919) 843-4609
Fax: (919) 966-6627