Testimonials from our patients

Dr. Godbout, you and the entire staff at CBI have overwhelmed me with your passion and commitment in helping me achieve a quality of life that is once again both productive and rewarding. I can't tell you how wonderful and convenient it is that you offer on-sight diagnostics, advanced spine treatments and procedures, plus physical therapy. This ...

Kori

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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.

Margie

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I have been a patient at the best facility in NC for several years. I came in several months ago with severe foot pain. During this visit a new treatment was discussed. At this time I was willing to try the last treatment. I couldn't bear any pressure pressed against the heel area. My first treatment I got relief. I was amazed. I could place my ...

Doris

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I am 68, retired from nursing 3 years ago. I have lower back pain and have seen one physician after another who simply prescribed pain medications for me and nothing has worked. I saw the Carolina Back ad on TV and went in to find physicians that thought they could help me. They tried a few different procedures but the pain level in my back ...

Judith

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You have such an amazing, kind, caring staff. I appreciate so much always getting such immediate care and attention both during the surgery and aftercare. I love that you all take the time to actually listen to my needs, how I am feeling, and always do your very best to make me feel comfortable. Though I am still having back pain and discomfort ...

Stephanie

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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