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Orthopedic Referral Form

Thank you for choosing EmergeOrtho for the subspecialty orthopedic care of your patients. We strive to make the referral process as secure & seamless as possible for referring provider offices to submit an online patient referral.

Please complete the required fields, upload records, and submit your referral. If you need assistance, please call our appointment line at 336-545-5001 or email us at Referrals.Triad@EmergeOrtho.com

Thank you for your referrals.

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