Registrations & Appointments
New Patient Forms
For your convenience, Coastal Carolina Internal Medicine, PA new patient forms are available at our web portal for you to download, print and complete. Please bring the completed forms to your first appointment; otherwise we request that you arrive at least 45 minutes minutes early to complete the forms in the office.
You may also access the Patient Portal
on the left (blue section) and create an account to be able to fill-out the forms electronically.
Please, review the following forms. Print the appropriate forms, fill-in and bring them to the office for your next appointment.
To accommodate our patient’s busy schedule, we ask that appointments be made in advance. However, we will see walk-in (established) patients based on medical urgency and schedule availability. In the event of an afterhours emergency call 911.
If you sought care at an emergency room facility or got admitted to a hospital, please call us and let us know. We would like to get you scheduled with a follow-up appointment to ensure you have everything you need at home and on your way to a fast recovery.
For established patients, please arrive to your appointment at least 15 minutes in advance and new patients are asked to arrive at least 45 minutes in advance. We ask that you bring a valid photo ID and insurance card/s as it will be verified at the time of visit. Minor children that are not legally emancipated will require a parent or legal guardian consent to treat at time of visit, unless arrangements are in advance and in writing.