Please print and fill in the requested information on the forms listed below and bring them with your when you come in.  You can also just walk in and we will give you the forms so you can provide the initial registration information. All patient information is kept confidential in compliance with Federal HIPPA regulations.


Blank Forms
 

Our Goal is Zero waiting time to be seen.

Walk In's Welcome!URGENT CARE CLINIC OF ANNA, 972-924-2900 | Fax: 962-924-4300 Walk In's Welcome!

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