Patient Forms

Below are our patient forms. You can print, fill these out and bring them with you to your visit.

New Patient Registration Form

Medical Record Release Form

Medical Clearance Request Form

Medical Examination and Vaccination Record (I-693)

We Accept All Major Insurances!

Urgent Medical Center is in network with most major insurers. Click the link below to get more information on all the insurance plans we accept and other insurance-related information.

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avmed logo
coventry
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Cigna-Logo
first health
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medicare
molina
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umr
logo-insurance-tricare
Kaiser Permanente Logo
champva
AARP-Logo
care plus v2

We also offer our self pay patients the option of financing through a Membership Plan, so you can take advantage of all our services for minimal cost.
To learn more, visit our UMC Membership page.

The Best Urgent Care in South Florida is Waiting for You

Don’t wait. Experience the availability and affordability that you need. Walk-ins welcome.
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