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Provider Referrals & Office Contact


 

Positive Perceptions, PLLC
Please Note NEW LOCATION
6211 Carmel Rd 
Suite 103
Charlotte, NC 28226
704-966-7710


PHONE SCREENINGReferral_Form_for_other_Providers
Referrals from other providers are required! Other provider's office staff may click the link above, complete form and email or fax it to our office, along with a clinical assessment completed by the provider. Our office will contact the patient within 24-72 business hours to schedule an appointment. We thank you in advance for allowing us evaluate your patient!

Please give us a call, schedule appointment online, send an email, or simply fill out the form on this page.  We're looking forward to speaking with you.
Office Hours: Tuesday & Thursday 9:00 am- 4:00 pm;
By appointment only


Please be advised that by using this form to contact our office, we are not confirming an appointment nor establishing a provider-patient relationship. As a user of this mode of communication and of our website, you assume all risks with placing confidential information into this portal. This form of communication is not intended for acute, emergency, or life-threatening health conditions. If you believe you are having a health emergency, contact 911 or go to your nearest emergency department. We will follow-up with-in 24-48 business hours.
POSITIVE PERCEPTIONS will be closed December 23, 2019 - January 2, 2020. Please schedule your online appointment accordingly. 

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.