PromptMed Patient Forms

Patients do not need an appointment for a visit - just walk in. Thank you for choosing PromptMed for your urgent non-emergent care! 

Patient/Urgent Care Form

Patients may complete the urgent care registration form prior to their visit and bring with them. If any insurance or demographic information has changed, patients may be required to update their information on file with our office.

PROMPTMED PATIENT REGISTRATION FORM

Please be sure to bring your insurance card and a photo ID. Acceptable forms of photo ID are: driver's license, passport, work or student badge with photo.