Get up to 50% off most services when you
purchase a ValueCare medical discount card.
Forms
To download the forms and information you need from NextCare® Urgent Care, simply click the links below.
General Forms and Procedures
- Patient Registration and Insurance Information – Download Form
- Patient Sign-In and Emergency Conditions – Download Form
- NextCare Urgent Care’s Privacy and Billing Procedures – Download Form
- Notice of Privacy Practices - NextCare Urgent Care – Download Form
- Medical Records Release Form – Download Form
- NextCare Sports Physical Consent Form for Minors Download Form
2012-2013 Flu & Pneumonia Information
- Flu Info Sheet Download Form
- Patient Consent Form – Flu Download Form
- Patient Consent Form - Pneumonia Download Form
- Pneumonia Information Sheet Download Form
- Flu Information Sheet - Spanish Download Form
- Pneumonia Information Sheet - Spanish Download Form
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