Referring Physicians

The physicians and staff at the Carolinas Pain Institute continuously strive to improve our services and exceed our referring physicians’ expectations. When referring your patients to the Carolinas Pain Institute, you can be assured that:

  1. We will always aim to work closely with you and your patient when selecting the best treatment regimen.
  2. We will make it our goal to safely and effectively improve the patient’s pain, function and well-being.
  3. Our caring physicians and staff will identify and use quality, comprehensive and state-of-the-art treatment options.
  4. As the region’s leading center for the treatment of pain, CPI has trained and employs the most experienced and versatile board-certified experts. They provide progressive and customized pain management options to our patients.


Thank you for your interest in Carolinas Pain Institute. Please select which office you’d like to visit or refer to, then download and print the appropriate location specific Referral Forms: Charlotte Office or Winston-Salem Office.

Referral Faxline: 336-714-8380

For Frequently Asked Questions about Referring A Patient, please refer to our FAQs page.