Forms

New Patient Paperwork

Please download and complete the New Patient Packet and bring it with your New Patient visit:

New Patient Packet (Word)

New Patient Packet (PDF)

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 PRIOR 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:

CSS WC Doc
CSS WC PDF

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

Weight loss consent form

New Patient Weight Loss Form

 

 

 

 

Office Use:
Weight Loss Intake Sheet
Financial-HIPPA Policy Consent Form

 

 

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