Save Your Spot Thank You
 
 

Thank You for Saving Your Spot!

Thank you! Your spot at BayCare Urgent Care has been reserved! You will receive a confirmation text message to the number you provided, and if you provided an email address we've sent you a confirmation email as well.

For your convenience we have provided links below to complete the appropriate registration paperwork prior to arriving at the clinic. Please bring completed paperwork, a valid photo ID and any insurance cards (if applicable) with you for your visit. Unfortunately, these forms cannot currently be submitted electronically to the clinic so please print them and bring them.

Please consult your insurance plan details for any out-of-pocket costs which might apply (if applicable).

You should only use this service if you are certain you can safely wait with no risk to your health.

This service is not for use with life threatening, debilitating, or emergent medical conditions, and you agree that you are not attempting to use the service for such a condition. If you have a medical emergency, call 911 or go to the nearest emergency room immediately.

For your safety, you will be asked to verify your information at the facility prior to admittance.

New Patient Paperwork – (Use if you have not been to a BayCare Urgent Care since April 2015 or are unsure.)

Returning Patient Paperwork – (Use if you've been to a BayCare Urgent Care since April 2015.)

While we share a single health record across BayCare, each division (i.e. Hospitals, Physician Offices) has separate registration paperwork that must be completed.


Thank you,

BayCare Urgent Care