Refer a Patient | Celeste Brain Health | Neurology NC
Neurology · Medical Lien Accepted

Refer a Patient to Celeste Brain Health

Complete the form below and our team will confirm the appointment within one business day. Medical liens accepted — no insurance required. No administrative burden on your office.

Medical Lien Accepted Scheduled Within 24–48 Hours Detailed Objective Documentation Records & Billing Delivered Promptly Board-Certified Neurologist

Patient Referral Form

Fields marked * are required. We'll handle the rest.

Referring Professional
Patient Information
Billing Information
Clinical & Referral Details

By submitting this form, you confirm that appropriate authorization has been obtained to share this patient information. We will follow up within one business day.

✓

Referral Received

Thank you. Our team will confirm the appointment and follow up with your office within one business day.

Questions in the meantime? Call or text us at (984) 777-9940.

Contact Our Team Directly

📞
Call or Text (984) 777-9940
✉️
📍
Locations Raleigh · Charlotte · Wilmington, NC

What to Expect After Referral

  • Confirmation from our team within one business day
  • Patient scheduled within 24–48 hours of referral
  • Medical lien arranged — no upfront cost to your patient
  • Thorough neurological evaluation by Dr. Sumul Modi, MD
  • Detailed, objective clinical documentation
  • Records and itemized billing delivered promptly upon request
  • No administrative burden on your office

📅 Office Hours

Monday – Friday8:00 AM – 5:00 PM
SaturdayBy Appointment
After HoursText (984) 777-9940

Our Neurological Services

TBI & Concussion · DTI Brain MRI · Cognitive Testing · Cognitive Rehabilitation · Vestibular Therapy · Videooculography (VOG) · Audiology · Mental Health / CBT · Headache Management · IME · Expert Witness