Becoming a New Patient
Want to be a patient at Carolina Headache Institute? Follow the steps below to expedite your appointment.
Step 1: A referral from your physician is required. We accept referrals from all Providers preferably one who has been treating you for headaches. Self-referrals will not be considered. Download the “New Patient Referral Form” (below) and present this to your provider to fill out. Demographics and Clinical Records must be included in the referral.

2023 Referral Form.pdf | |
File Size: | 74 kb |
File Type: |
Step 2: Once a referral is received, our physicians review your information to ensure we match you with the provider most suited to your needs.
Step 3: You will receive a call from the office confirming your referral status and informing you of your provider. At this time, we will arrange for you to receive a new patient packet.
Step 4: Once you receive the packet, you must fill it out completely and return it to us via e-mail, fax, mail, or in-person.
Tip: The sooner we receive your packet the sooner we schedule your appointment.
* Insurance Comment: Our Billing department cannot with 100% certainty relay the insurance status of CHI as in or out-of-network to avoid liability. It is solely patient responsibility to obtain insurance authorizations, speak directly to insurance to ensure network status and to be aware of possible patient responsibility (deductible, co-insurance %'s, etc). After you speak with insurance if you have further questions please do not hesitate to reach out to Billing (option 6).
Tip: The sooner we receive your packet the sooner we schedule your appointment.
* Insurance Comment: Our Billing department cannot with 100% certainty relay the insurance status of CHI as in or out-of-network to avoid liability. It is solely patient responsibility to obtain insurance authorizations, speak directly to insurance to ensure network status and to be aware of possible patient responsibility (deductible, co-insurance %'s, etc). After you speak with insurance if you have further questions please do not hesitate to reach out to Billing (option 6).
Step 5: Once your packet is returned we log the information in our system and then we will contact you to schedule your new patient visit with the provider you have been assigned to.
We will do our best to accommodate your individual needs but due to high demand, it may take several months to be seen.
Repeated calls to the office about the status of your referral will only delay the process.
Thank you for your cooperation. We look forward to serving you.
Repeated calls to the office about the status of your referral will only delay the process.
Thank you for your cooperation. We look forward to serving you.