PATIENT FORMS IN SPANISH
Para brindarle el servicio más eficiente y completo, hemos proporcionado varios formularios en línea. Encontrará un formulario de registro que le pedirá su información demográfica, privacidad y formularios HIPAA que explican la confidencialidad con la que tratamos su información, un formulario en el que proporcionará su historial médico y un formulario de divulgación médica para completar el evento en el que desea que sus registros médicos se divulguen a otro médico. Descargue los formularios correspondientes, complételos y tráigalos a nuestra Atención de urgencia, donde nuestro personal médico lo verá lo antes posible.
You will find a Registration form which will ask for your demographic information, Privacy and HIPAA forms that explain the confidentiality with which we treat your information, a form on which you will provide your Medical History, and a Medical Release form to be filled out in the event that you want your medical records to be released to another Physician. Please download the appropriate forms, fill them out and bring them into our Urgent Care, where you will be seen by our Medical Staff as soon as possible.
- Patient Registration Form (Spanish)
- Notice of Privacy Practice (Spanish)
- Medical History (English & Spanish)
"I have to say this office took care of me like I was family. They went to blows for me with the pharmacy down the street because they would not honor the generic version of my prescription. They not only called it into a different place so I didn't have to talk to the angry pharmacist but also found it at a cheaper price. Lynda you are awesome, thank you so much!"
"I was new to the area, so I was dependent on recommendations from new neighbors and reviews. Thankfully, I was referred to Premier Urgent Care. Megan Maynard and team were wonderful. Megan listened patiently to an exhausted patient dealing with complications from a procedure and multiple areas of concern. She even helped with referrals for further follow-up. I would highly recommend if you experience an urgent medical need."
"Brought my son today and we were treated like kings.The front staff was very friendly. Venus, the first nurse, was amazing and treated my son like an adult and was super professional. Then the doctor Walter Joyner came in and explained exactly the situation and then different routes we could take. Nicole also did an amazing job checking us out and getting me all of the proper paperwork. We were seen in less than 5 minutes! And the price was very reasonable. Ignore the 1 star people that only tend to complain. Thank you again for taking such good care of my son."