Testimonials from our patients

Dr. Bhat is wonderful. He is very attentive and seems interested in the patient's goals, fears, successes & progress! On a scale of 1-10, Dr. Bhat is definitely a 10.

Joetta H

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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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I have seen Dr. Bhat and the Physician Assistant, Kathy Odom. I love this practice!! There is never a long wait, everyone who I come in contact with is very sweet and attentive. They have helped me live my day to day life even with chronic pain. I visited the Carolina Back Institute after not being helped or even listened to after visiting 3 ...


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The entire staff has been very friendly especially Evan, Kelly B, Dawn and Dr. Dhaliwal. They have made me feel very comfortable and happy to be here even though I receive shots for pain. They are all very pleasant from the time I arrive until I leave.


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I feel 99% better. Can't beat that! THANK YOU!


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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