We'd Love To Hear From You

Our team at Vascular Solutions is committed to providing you with the highest quality care. Please complete the form below to let us know how we can help with any of your health needs or questions.

NOTE: If this is a medical emergency, call 911 or seek immediate medical help. Do not use this form to submit any confidential patient information.

Are you a referring provider?

Fill out this referral form and fax it to 919-897-5980 along with

• Most Recent H&P
• Copies of Insurance Cards
• Face Sheet
• Medication List/Labs
• Referring Provider Name, NPI, Phone and Fax
• Imaging Reports