Quick Answer
We refer when a specialist's expertise will meaningfully change the plan — for example, when a condition needs a procedure (colonoscopy, cardiac catheterization), advanced testing (sleep study, EMG), surgical evaluation, or specialty-only management. We don't refer reflexively. If primary care can handle something well, we keep it in primary care and save you the extra appointment.
This question comes up frequently for patients researching specialist referrals at Good Health NC in Knightdale, NC.
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