EmergeOrtho Triad Region Referral Form

Option 1: Secure Online Patient Referral

To get started, select the Orthopedic Referral Form below. Then, complete the required fields, upload records, and submit your referral. If you need assistance, please call our Referral Department at 336-545-5000 Option 2 or email us at [email protected]

Option 2: Patient Referral by Fax

Complete & Fax our Patient Referral Form attaching patient demographic information and office notes. One of our appointment representatives will contact the patient directly to schedule their appointment.

Option 3: Patient Referral by Phone

Contact our Referral Department at 336-545-5000 Option 2 – to speak with one of our representatives.

Option 4: Patient Referral via Proficient Health

As part of the Triad Health Network (THN), EmergeOrtho Triad Region accepts and manages patient referrals online from participating THN practices.

For Immediate Care

AccessOrtho is EmergeOrtho’s Orthopedic Urgent Care. AccessOrtho’s team of providers are available for the urgent care of acute orthopedic injuries and conditions. These include sprains, strains, most broken bones, sports-related injuries, cast or wound concerns, recently swollen, painful, or injured joints, and much more.

Greensboro’s AccessOrtho location is open six days a week with walk-in services available.

Monday-Friday: 8:00 AM to 8:00 PM

Saturday: 10:00 AM to 3:00 PM

For more information, please call: 336-545-5006

Thank you for trusting EmergeOrtho for your patient referrals!