Referrals

Carolina Case Management strives to provide high quality case management services designed to facilitate case resolution. With all referrals, we are committed to providing the highest level of case management services and managing the process from inception to case resolution.

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. Please keep your files under 2 MB.
  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
  • 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:

Josh Hines
Telephone: 919-846-9390
Email: jhines@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

Submit a Referral

  • Your Information

  • Case Type

  • How can we help you?

  • Upload File

  • Drop files here or

    Carolina Case Management & Rehabilitation Services, Inc., Medical Business Administration, Raleigh, NC