SEMINARS Menu 1-800-546-9636 Home » Referrals 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 Fill out all of your information Click “Select Files” in the Upload File section Select the file you would like to upload. 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 Full Name First Last Email Address Phone Number Case Type Case Type - Select One - Full Medical Case Management Medical Task Assignment Vocational Case Management Job Analysis Vocational Assessment Labor Market Survey Telephonic Case Management Other Claim Number How can we help you? How can we help you? Upload File Upload File Drop files here or SUBMIT REFERRAL 118 Wind Chime Court Raleigh, NC 27615 1-800-546-9636 HOME ABOUT US TESTIMONIALS SERVICES STAFF REFERRALS FIND A CASE MANAGER CAREERS CONTACT REPORT A PROBLEM CCM OPERATIONS/POLICIES © 2021 Carolina Case Management & Rehabilitation Services, Inc. All Rights Reserved. Privacy Policy | Terms of Use Marketing by 3VE