Advanced Urgent Care
Advanced Urgent Care
New Patient Forms

Thank you for choosing us as your partners in health. If this is your first visit, to save your valuable time, please download and complete the electronic New Patient Packet. Print the completed packet and bring the forms to your HealthCare Partners doctor visit.

You may also download and print each form individually by clicking on the form name below.

Patient History

Registration

Authorization for Use or Disclosure of Medical Records

Authorization to Disclose Protected Health Information

Well Being Assessment Form

HIPAA Notice of Privacy Practices








Advanced Urgent Care
Advanced Urgent Care
Our Family of Organizations

Advanced Urgent Care
Advanced Urgent Care
Advanced Urgent Care
Advanced Urgent Care
Advanced Urgent Care
Advanced Urgent Care
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