Open 7 Days A Week!

Patient Forms

Here is a collection on required medical, health, and release forms for new patients. They are saved as PDF files. Please download, fill out, and print these forms so we can expedite your first visit. If you prefer to fax, please fax to: 386-269-9555

Patient Information Form

Medical History Form

Release Form

Why Urgent Care & Family Practice Center?

Urgent Care & Family Practice Center is a full-service, walk-in medical clinic offering treatment to all ages for illness and injury 7 Days a week. There are no long waits. You will be seen by a medical professionals offering world-class customer service.

  • Annual Physicals - Minor Emergency Treatment
  • Sports & Firearm Physicals
  • Skin Biopsy - EKG - Spirometry
  • Intra Articular Injections - Laceration Repair
  • Onsite Lab Draw & Urine Drug Screening
  • Chronic Medical Condition Management

There is no need for an appointment – just walk in when you need us and you'll be seen promptly. Most patients are seen and treated in under an hour. Easy access and convenient parking are available. Urgent Care & Family Practice Center is conveniently located on Clyde Morris Boulevard just north of the Halifax Medical Center. Get Directions Here

"Here at Urgent Care & Family Practice, we'll take you in quickly and treat you well."