Triangle Spine and Back Care Center

Referrals

Referrals

FOR PHYSICIANS: Thank you for your referral. We look forward to assisting you in caring for your patients. We will make every effort to schedule your patient’s appointment as quickly as possible.

You may fax this form to:
919-876-7163 ATTN: New Patient Appointments

Please send all pertinent records to assist us in caring for your patient. In order to better serve you and your patients, all records and/or any related x-rays or imaging studies must be received PRIOR to the appointment.

You may mail records and x-rays to:

Triangle Spine and Back Care Center
3320 Wake Forest Road, Suite 430
Raleigh, NC 27609
ATTN: New Patient Referral

OR fax records to: 919.876.7163

Upon receipt of the patient referral form, the New Patient Appointment information will be sent to the office contact listed.

FOR WORKERS COMPENSATION: Authorization must be received in writing from the Workers’ Compensation Insurance Company/Adjustor PRIOR to making the appointment.

You may fax this form to:
919-876-7163 ATTN: New Patient Appointments/Workers Compensation

Please send all pertinent records to assist us in caring for your patient.

In order to better serve you and your patients, all records and/or any related x-rays or imaging studies must be received 48 hours PRIOR to the appointment.

You may mail records and x-rays to:

Triangle Spine and Back Care Center
3320 Wake Forest Road, Suite 430
Raleigh, NC 27609
ATTN: New Patient Referral/Workers Compensation

OR fax records to: 919.876.7163

Upon receipt of written authorization and the patient referral form, the New Patient Appointment information will be sent to the Workers’ Compensation contact listed.