First Time User? Sign Up Now
First Time User? Enroll now.
Home > Care & Treatment > Spine Care > Patient Forms
The UNC Hospitals Imaging and Spine Care Center is located at 1350 Raleigh Road. Please note that Raleigh Road is also called NC Highway 54 E.
Free parking is available behind the building, accessible from Finley Golf Course Road.
If you are scheduled for an appointment, please print and complete the appropriate form to bring with you.
New Patient Questionnaire
New Patient Questionnaire (Bilingual)
Patient Intake (Spanish)
Please call 984-974-6800 to schedule an imaging appointment at the UNC Hospitals Imaging Center or 984-974-4200 to schedule a clinic appointment at the UNC Hospitals Spine Center. Referrals are not necessary
1350 Raleigh Road
Chapel Hill, NC 27517