Testimonials from our patients

I had a serious back injury in June 2010 that put my life in jeopardy! I could have lost my job, my home & my way of life with severe stress and strain on my family. Thanks to the amazing TEAM that Carolina BacK Institute is, I am back to work & back to good health. I suffered an extrusion of L3 & Herniation/Bulging of L3-L4 & L4-L5. Dr. ...


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After 9 years of pain and thousands of dollars spent on MRI's, nerve test, circulation tests, physical therapy, steroid injections. I finally came to Carolina Back Institute and Neema Patel, NP tried trigger shots in the muscles and they actually worked. The next day I was actually on my feet that night without having to take medicine which ...


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Catherine Santello, PA-C is always wonderful, she listens to what you are saying, always gives you an answer to whatever it is. I've never had a more caring, sensitive, professional or one that understands the problems with my body more than Catherine. Thank you!


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I was referred to Dr. Gwinn by the physical therapist that was coming to my house after I hurt my back in 2004. He told me great things about him and he was not wrong. Dr. Gwinn always takes the time to listen to me, and answers all the questions I have. I could not have asked for a better and more caring doctor--great bedside manner! Anybody ...


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I am writing this testimonial to let you and other people know there is help for your back and head out there. I often thought there was no help until I heard of Carolina Back Institute. My treatments have done wonders. You can never know how much it has helped and I am a walking testimonial for you and your staff. Keep up the good work.


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Download Patient Forms

On this page you’ll find all the forms you will need to expedite your treatment at Carolina Back Institute, plus other useful documents. If you cannot find what you're looking for, please contact us for assistance

All the below forms and information sheets are downloadable PDF files to print, fill out, and bring with you to your appointment or keep for future reference.

New Patient Forms & Information

A complete set of all New Patient forms including Patient Registration form, Patient Medical History Form, Privacy Notice & Acknowledgement of Receipt of Privacy Notice (HIPAA) Form, Consent for Medical Treatment Form, Copy Office Notes Request Form and Carolina Back Financial Policy.

General Patient Forms

Procedure Information Sheets and Forms

Epidural Injection