PHYSICIAN REFERRAL

Thank you for trusting Cary Orthopaedics and Cary Orthopaedic Spine Center to care for your patient. A fax to our office is the most efficient and comprehensive method of patient referral in compliance with HIPAA.

Download Doctor’s Referral Form

Please complete and fax the referral form, which asks for the following information – referring physician, contact name and phone number, and the patient name, DOB, address, patient contact number, reason for referral. If applicable, please include insurance information (copy of card is most helpful) and appropriate office visit notes.

Please fax the completed form to 919-232-5150.

If you have further questions, please contact us at one of our orthopaedic office locations.