Patient Forms

New Patient Form

The PDF file contains new patient registration form, patient record form, consent forms and HIPAA Compliance Patient Consent Form.

Epocrates Online Drug Lookup

The clinical information you need,
at your fingertips.

COVID-19 Test Request Form

Download and complete this form before COVID-19 testing.

Urgent Care

Wound Care

Abscess Drainage $125.00

Laceration (cuts) Less than 3 cm $150.00 More than 3 cm $250.00

Fracture Care

Ortho Glass Splint $75.00

Arm Sling $10.00

Ace Wrap $6.00

Wellness & Physicals

Office Visit (new) $100.00

Office Visit (subsequent) $85.00

Annual Physical Exam for Men $250.00
Includes Complete Blood Works

Annual Physical Exam for Women $250.00
Includes Complete Blood Works, Physician’s Exam
(Additional for Pap smear) $75

IV Fluids $150.00

Diagnostic Tests

Influenza Screen $50.00

Strep Screen $25.00

Pregnancy Test $35.00

Glucose Finger Test $25.00

EKG $75.00

Injections $50.00 (prices vary with drug)

Ear Wax removal $75.00

Nebulizer Treatment $50.00

Urinalysis $25.00

Reqest for Appointment

Flexible appointments and urgent care.

Or call — 972-924-2900

Affordable & Better Health Care is Our Mission

24/7 service. Same Day Appointments are Available.

972-924-2900

office@uccannatx.com

701 West White St. Suite 2B

Anna, Texas 75409