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We’ve streamlined the intake process! Patients and referring doctors can quickly and easily submit forms online. If you are a new patient, complete and submit the patient registration form. If you are a referring provider, please submit the referral form. Contact us if you have any questions regarding online form submission and we will be happy to help.
Please be aware that this is not a secure email network under HIPAA guidelines. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. We are not liable for any HIPAA violations. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing.
By checking this box you hereby agree to hold Flagship Carolinas Centers, including its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.
