Urgent Care Patient Forms

In order to help our team prepare for your office visit, please complete the following forms and bring them to your next appointment. This will help to streamline the check-in process and ensure our files are up-to-date. If you have any questions, please feel free to contact the urgent care location you'll be visiting.
 

Patient Forms (English)

pdf icon Patient Registration pdf icon Billing & Financial Policy pdf icon Consent to Treat pdf icon Notice of Privacy Practices

 

Patient Forms (Spanish)

pdf icon Patient Registration pdf icon Billing & Financial Policy pdf icon Consent to Treat pdf icon Notice of Privacy Practices