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Forms
Forms

All forms and publications are in PDF format and require Adobe Acrobat Reader to view and print. This software is provided free of charge and you may download the latest version by clicking on the ‘Get Acrobat Reader’ button.

Get Adobe Acrobat Reader

You can save time by downloading the necessary forms prior to your visit to our urgent care.

The following forms are available for you to print and complete before arriving at our clinic. Simply click on the form and print. Then fill the form out and bring with you when you visit our clinic.

If this is your first visit you need all four of the above forms.

If you are an established patient who has not been seen within the year you need to print the "Patient Health History" and fill it out so we have updated information on you.

If your address, insurance, or employer information has changed you need to fill out an updated "Patient Registration Form".

All these forms will need to be signed at the time of your visit to our urgent care.

By having these forms completed and with you when you arrive at our clinic, you will shorten the time it takes us to prepare your paperwork for you to receive care and/or treatment.

You can also go to the following web site links for additional forms you may need,

Download Forms

having these forms completed and with you when you arrive at our clinic, you will shorten the time it takes us to prepare your paperwork for you to receive care and/or treatment.