Southwest Medical Center

Request an Appointment Online

We can see you today!  Appointments are available Monday through Saturday – and there’s never a charge for a consultation.

To request an appointment at Southwest Medical Center or Croatan Primary Care, please fill out all fields in the form below and submit. You will be contacted shortly by our staff with an appointment confirmation.


Name:

Address:

City:

State:

Zip:

Phone/Cell Phone:

E-Mail Address:


What are your symptoms?
(Ex: Fever, Pain, Nausea, Headaches):



Which Location?: Southwest Medical Ctr Croatan Primary Care

Filing health insurance?: Yes No

Returning Patient?: Yes No

Requested Appointment Date:

Morning or Afternoon?:


Audio Version
Reload Image

Security Code: