Pre-Visit Patient Forms

Patient Intake & Privacy Forms

Complete your forms prior to your visit.

At Impact Urgent Care, we know that convenience is important to you. That’s why we make our patient intake, privacy and informational forms avaialble to you prior to your visit.  By checking in online and completing your forms prior to your visit, you can greatly reduce your wait time in our lobby.

If you have any questions prior to completing your forms, please call us at 855-598-7062.

 

Privacy Forms

Registration Forms

Check-In Online