Patient Eligibility Information

We look forward to welcoming you as a patient at Volusia Volunteers in Medicine. To begin the appointment scheduling process, please complete the form to the right. Upon submission, our office manager will call you to begin the patient qualification process. Please review the eligibility requirements to ensure we would be a good fit for you.

What To Bring to Your Appointment

  • Any Information Discussed During Eligibility Screening

  • Picture ID

  • Previous Medical Related Information (Medication List, Previous Tests/Scans etc.)

 

Request An Appointment

Name *
Name
Phone *
Phone
Requested Service