Testimonials from our patients

Thank you Neema Patel, NP for your kind and wise care! When a patient is suffering and afraid, understanding and compassion are critical. I appreciate your attention to my problem and your dedication to helping me find relief. Sincerely


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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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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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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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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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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