Pre-Visit Patient Forms & Information
General Forms and Procedures
At NextCare, we know that convenience is important to you. That’s why we make our patient intake, privacy and informational forms available to you prior to your visit. By checking in online and completing your forms prior to your visit, you can greatly reduce your wait time in our lobby.
If you have any questions prior to completing your forms, please call us at 888-381-4858.
Patient Privacy Forms
- Privacy Practices
- Privacy and Billing Procedures – NextCare 10.05.15
- Privacy and Billing Procedures – NextCare Spanish Version 10.05.15
- Patient Registration Form – NextCare Urgent Care 07.01.16
- Patient Registration Form – NextCare Urgent Care 07.01.16- Spanish
Medical Records Release Form