ADDRESS: 400 South Croatan Highway Kill Devil Hills NC 27948
252-441-7870
ADDRESS: 400 South Croatan Highway Kill Devil Hills NC 27948
  • Home
  • About Us
  • What we Treat
  • Billing
  • Forms

Forms

  • At Surf Urgent Care, we know that convenience is important to you. That’s why we make our patient intake, privacy and informational forms available to you prior to your visit. By completing your forms prior to your visit, you can greatly reduce your wait time in our lobby.

  • If you have any questions prior to completing your forms, please call us at 252-441-7870.

  • Patient Privacy and Office Forms Privacy Practice (PDF Version)
  • Notices of Patients Rights and Responsibilites (PDF Version)
  • Online Interaction Policy (PDF Version)
  • Financial Policy (PDF Version)

  • Registration Form
  • Patient Registration Form – (PDF Version)

  • Medical Records Release Form
  • Authorization to Release Protected Health Information (PDF Version)

We use cookies to enable essential functionality on our website, and analyze website traffic. By clicking Accept you consent to our use of cookies. Read about how we use cookies.

Your Cookie Settings

We use cookies to enable essential functionality on our website, and analyze website traffic. Read about how we use cookies.

Cookie Categories
Essential

These cookies are strictly necessary to provide you with services available through our websites. You cannot refuse these cookies without impacting how our websites function. You can block or delete them by changing your browser settings, as described under the heading "Managing cookies" in the Privacy and Cookies Policy.

Analytics

These cookies collect information that is used in aggregate form to help us understand how our websites are being used or how effective our marketing campaigns are.