Appointments and Contacts

Site Locations:

145 Kimel Park Drive, Ste 330
Winston Salem, NC, 27103
Phone: (336) 765-6181 ext.133

610 N Fayetteville St., Ste 106
Asheboro, NC 27203
Phone: (336) 610-7246

Brookstown- 605 Cotton St.
Winston-Salem, NC 27101
Phone: (336) 716-8777

18 Doctors Circle Suite 2
Supply, NC 28462
Phone: (910) 754-8940

445 Pineview Drive, Ste 230
Kernersville, NC 27284

207 Old Lexington Road
Thomasville, NC 27360


Make An Appointment

To schedule an appointment, you may call (336) 765-6181; ext. 134 for Emily Blankenship or ext. 113 for Allison Taylor

Our clinic accepts new patients by physician referral only. You can download the Referral Form and directions on how to complete your referral below. Thank you for entrusting us with your patients' care!


Patient Forms

We encourage our patients to download and complete the following forms, in the interest of expediting your in-office experience:

CPI Medical Release Form (.PDF) New Patient Referral Form (.PDF) CPI Patient Information (.PDF) Carolinas Pain Institute Financial Policy (.PDF)
CPI Communications Form (.PDF) CPI Health Care Consent (.PDF) CPI Privacy Notice (.PDF)  

These forms are PDF files and require Adobe Reader.
To download a copy click the Adobe logo to the right.





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