Once we receive the completed form we will fax an order to your child’s primary care physician to be signed.
After we receive your completed Referral Form:
Please note, it can take up to two weeks to get the doctor’s order signed.
In the meantime if you have any questions please don’t hesitate to contact our office at 704-649-4509.
*Printed forms can be faxed to 704-843-9045 or mailed to 1229 Toteros Drive, Waxhaw, NC 28173.
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