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Rehab & Pain Management Referral Form

Referring physician offices can now upload patient records when submitting web referrals. Click the link at the bottom of the page to upload records and orders.

EmergeOrtho’s physician liaison is Susan Kirkendol. Please contact Susan if you need assistance with referrals, have questions or concerns. You may reach Susan by phone/text at 910-523-1690 or email at susan.kirkendol@emergeortho.com. As always, we thank you for your referrals.

The contents of the emergeortho.com site, such as text, graphics, images, and other material contained on the emergeortho.com site (“content”) are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the emergeortho.com site.

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