Urgent Care & Primary Care 7-Days a Week Mon-Fri 7a-7p | Sat-Sun 8a-4p | 352-732-9888
Urgent Care & Primary Care 7-Days a Week | Mon-Fri 7a-7p | Sat-Sun 8a-4p  |  352-732-9888

Patient Forms

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Patient Forms

If you would like to expedite your check in process at our facility, please fill out these forms so we are able to get you seen and feeling better as quickly as possible. Contact us if you have any questions.

Registration Form

Registration Info and Consent for Treatment

Medical Release Authorization

Patient Medical Release Authorization

Medical Release Information

Authorization to Release Information to Individuals/Family Members

Covid-19 Risk

Receiving Medical Treatment During COVID-19 Pandemic

Hipaa Form

Protected Health Information PHI / Hipaa

All forms

All forms listed here in one multipage PDF