New Patient Information

Thank you for choosing Coastal Vascular Institute for your vascular needs. Our team is proud to be the premier vascular practice in Eastern North Carolina.

In order for us to serve you better, please find our New Patient Paperwork Packet below. Please print and complete all forms prior to your appointment. Any information that you cannot complete, the staff would be happy to assist you upon your arrival to your appointment. Please arrive 20 minutes prior to your scheduled appointment time so that your health profile can be completed with the information you provide.

Please bring the following items to your appointment:

  1. Completed New Patient Paperwork Packet
  2. Photo ID (Drivers License or other Valid ID)
  3. Insurance Card (s) and Co-Pay/Deductible (if applicable)
  4. Current Medications

Coastal Vascular Institute participates with most major insurance carriers in our area, and we are happy to file your claim free of charge. If your insurance requires a referral to see a specialist, please obtain this prior to your visit. For patients with VA coverage, please make sure you have an authorization prior to your appointment. Co-pays, if applicable, are collected at the time of your appointment. You will be responsible for your co-insurance or any other percentage that your insurance does not allow. Our staff members would be glad to review this information with you and answer your questions. Payment is expected when services are provided.

For your convenience, we accept cash, personal checks, MasterCard, Visa, Discover, and American Express.

Patient Forms

For your convenience, we have our patient forms available in one download. Please click on the link below to download your forms.

A word from our clients