Testimonials from our patients

I have been a long-standing patient of Carolina Back Institute. When I became a patient I had been diagnosed with severe degenerative neck and back disease with the recommendation of surgery. I was in pain and could not do any of the things that I enjoyed greatly of life. Everyone here has been helpful and time-conscious. I was especially ...


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Thank you Dr. Gwinn for all you have done for me in the past months to try to ease my pain and to make things easier for me. I feel that you have gone beyond what a lot of others would have done in an effort to help me and you will forever be in my thoughts and prayers for it. I feel that this in no small way will improve my life. Again, thank you.


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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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I would rate my experience at CBI a 10 out of 10. With each visit my experience is always good whichever doctor I see. Today I saw Neema Patel, NP and I would recommend her and Carolina Back to any of my family members or friends!


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After years of suffering with back pain I was referred to Dr. Gwinn at Carolina Back Institute. What an amazing experience! It is not very often where you are treated as a person, not a chart number. Dr. Gwinn and his staff have gone above and beyond in assisting me with alternatives to help relieve my pain. They are personable, compassionate, ...


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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