Referrals

How to upload successfully

Submit a referral using our online forms, or download a printable PDF version of the referral form to complete and send via fax or email. Online forms, PDF downloads, and further details are below:

Online Form Instructions

1. Fill out all of  your information
2. Click “Select Files” in the Upload File section
3. Select the file you would like to upload.
4. Click “Submit Referral”

*Please include the following:

• First report of injury
• Current correct contact information for injured worker if different from FROI
• Medical Records
• Treating Physician contact info & location
• Upcoming medical appointments- location, date, and time
• Defense and/or plaintiff attorney contact information, if applicable
• Job description if available
• For NC jurisdiction, IC File # if available
• For Vocational referrals, Educational and Employment history if available
• Special Instructions

Would you like to download our referral form? Download (PDF) »

Other ways to submit

Contact our Referral Coordinator directly:

Chris Mullins
Telephone: 919-846-9390
Email: cmullins@carolinacasemgmt.com

Or contact one of the following Customer Account Representatives:

Mark Marshburn
Telephone: 919-649-6207
Email: mmarshburn@carolinacasemgmt.com

Kara Faust
Telephone: 704-678-5272
Email: kfaust@carolinacasemgmt.com

Betsy Mapes
Telephone: 704-668-3355
Email: bmapes@carolinacasemgmt.com

Josh Hines
Telephone: 919-614-2078
Email: jhines@carolinacasemgmt.com