PATIENT FORMS
Registration
Our PATIENT REGISTRATION FORM is now available online for you to complete before you come in. Having this form completed before arriving can save up to 20-30 minutes of waiting to be seen! To access the form, hit the link below (our Urgent Care House) and complete the form using your personal computer. Then PRINT and bring them with you! (Be sure to download and review the WAIVERS also.
At our clinic, we’ve simplified the payment process by securely keeping your credit card on file. Just focus on your health while we handle the rest seamlessly. It’s our way of ensuring smooth, stress-free payments for your care, all while safeguarding your information with the utmost confidentiality. Sit back, relax, and let us take care of both you and the billing!
HOW TO VERIFY YOUR INSURANCE
We have provided step-by-step instructions on how to verify your own insurance to ensure that our clinics are in-network with your health insurance policy. There is a CHECKLIST included with the instructions. This CHECKLIST is also part of the PATIENT REGISTRATION FORM.
Patient Registration Form
Medical Questionaire
Click the Icon to Download
Waivers for Your Records
Financial Policies/Waivers/Privacy
Click the Icon to Download
Insurance Instructions
Verification of Benefits
Click the Icon to Download
Medical Release Form
Medical Release Authorization
Click the Icon to Download
"We're here when you need us.”
Urgent Care
Caring For You & Your Family 24 Hours a Day, 7 DAYS A WEEK
