Forms
New Patient Paperwork
Please download and complete the New Patient Packet and bring it with your New Patient visit:
CSS New Patient Intake form
PLEASE BE AWARE THAT NO INJECTIONS OR PROCEDURES CAN BE COMPLETED ON YOUR INITIAL CONSULTATION. WE REQUIRE INSURANCE PRIOR APPROVAL WHICH CAN ONLY BE COMPLETED AFTER YOUR INITIAL CONSULTATION IS DOCUMENTED AND SENT FOR APPROVAL. WE APPRECIATE YOUR UNDERSTANDING REGARDING THIS MATTER. WE WILL MAKE EVERY EFFORT TO GET YOUR PROCEDURE COMPLETED IMMEDIATELY.
Worker’s Compensation/Injured Workers
To request a workers’ compensation appointment with one of Carolina Sports and Spine’s providers, we ask that the employer or insurance carrier complete the CSS Workers’ Compensation information sheet:
Once completed the form can be faxed 252-442-5056 or sent by email (info@carolinasportsandspine.com)
Weight Loss Paperwork
Please Complete paperwork below prior to your Weight Loss visit.
Financial-HIPPA Policy Consent Form