Referring Provider Portal

Request Referring Provider Portal Access

We continue to accept referrals and appointment requests via traditional methods, such as telephone, fax, and CCD. We also offer the value and efficiency of the real-time information provided by the Referring Provider Portal. This secure scheduling platform streamlines and expedites the scheduling process, and provides easy access to appointment status. Please complete the form to request access to our e-referral portal, or call us at 704-364-8104 to learn more.

Name*
First Last
Practice Name*
Position*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Preferred Method of Contact*
- Email
- Phone
- Either
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Email
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Referring Provider Portal

Request Referring Provider Portal Access

8 Area Offices

Phone: 704-364-8104

Fax: 704-364-8105

Links

Offices