Pre Visit Forms
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 Practice (PDF Version) – (HTML Version)
- Privacy and Billing Procedures – NextCare (PDF Version) – (HTML Version)
- Privacy and Billing Procedures – NextCare Spanish Version (PDF Version) – (HTML Version)
Registration Forms
- Patient Registration Form – NextCare Urgent Care (PDF Version) – (HTML Version)
- Patient Registration Form – NextCare Urgent Care – Spanish (PDF Version) – (HTML Version)
Medical Records Release Form
