You may call in referrals to 252-689-6043 or you may complete and fax this page to 252-364-2863.  Thank you for allowing us to care for your patient / child.   If you choose to fax the referral, we will contact you to advise you of the appointment date and time after we contact the parent or guardian to schedule.

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I certify this patient is under my care and these services are medically necessary.
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