New Patient Request

Welcome to Physicians East.

If you are not a current patient but would like to get established at Physicians East, please fill the information out below. If you are a current patient needing to request credentials for our Patient Portal, please click HERE.

If you need to schedule an appointment immediately, please call our office at 252-752-6101.

To enroll for online scheduling, you will need a username and password. Once your form is received, we will be in contact to get you set up as a patient. You will then receive an email with your login access.

We hope to see you soon.

If this is an emergency, DO NOT SUBMIT A PATIENT FORM, please call us at 252-752-6101 or call 911.