West Cary Psychiatry
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    • Forms for existing patients
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 Referral Forms

If you have any questions, please call the office at (919) 377-1042 or email [email protected] for assistance.

Patient Referrals
​
As a referring practice or provider, please complete the form appropriate to the reason for you referral.
Use either the form link or QR to access the corresponding form.
  • New Patient Referrals to refer patient for psychiatric evaluation and management
  • Testing Referral to refer patient for computerized cognitive testing
New Patient referrals
QR Code for Jotform form
TEsting Referral Form
QR Code for Jotform form
Contact us at:
​(919) 377-1042 * office
(919) 234-0278 * fax
​(866) 694-9193 * fax
[email protected]
Social Media
  • Home
  • Telehealth
  • Services
  • Testing
    • Testing Forms
  • WCP Forms
    • New Patient Forms
    • Testing Forms
    • Refer to WCP
    • Forms for existing patients
  • Information
    • Practice Newsletters and Policy Updates
    • Clinicians
    • Location
    • Insurances
    • Telehealth
  • Contact
  • Useful Links
    • Therapeutic Bookshelf
    • Meditation/Breathing