Forms:

• Authorization to Release Medical Information
• Consultation Request Form (Providers Only)
• Patient History Form
• Patient Information Form
• Privacy Notice (HIPAA)

Medicare Annual Wellness Visit:

• Medicare Annual Wellness Visit Information Guide

TPMG Coastal Internal Medicine opened in February 2014 and is accepting new patients. Dr. Maggie Gaglione is a board certified Internist and Bariatrician. She and her office staff welcome you to Coastal Internal Medicine. Dr. Gaglione’s nurse, Peggy Crist, along with her office manager, Meghan Brickner and the rest of her professional staff work together to ensure your visit is as pleasant as possible.

Dr. Gaglione welcomes patients from age 13 on up!

In addition to practicing at TPMG Coastal Internal Medicine, Dr. Gaglione treats patients at Tidewater Bariatrics, the only full in-clinic HMR program in the state of Virginia. She and her staff are committed to helping you achieve your weight loss goals through education, treatment and maintenance programs such as meal programs, grocery store food programs and the use of pharmaceutical therapeutics, as appropriate. On April 2, 2014, Tidewater Bariatrics turned seven years old, and a total of 55,000 pounds were shed for 2,000 patients, with 496 medications dropped or discontinued! For additional information, please visit www.twb4u.com.