New patient packet - Greater Mobile Urgent Care 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This helps to track your visit accurately.
3. In the 'Reason for Visit' section, clearly write down any symptoms you are experiencing. This information is crucial for your healthcare provider.
4. Fill in your weight, height, and age. Indicate your gender and answer whether there is a chance you could be pregnant.
5. Provide details about your primary care doctor and any medication allergies you may have.
6. List your current medications and check any relevant health conditions from the provided list.
7. Complete the patient information section with your name, contact details, and insurance information as required.
8. Read through the financial obligation and HIPAA privacy notice carefully before signing at the bottom of the form.

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