EmergiCare Urgent Care
4 Convenient Locations To Serve You
Patient Forms for Urgent Care - Colorado Urgent Care
Patient Forms for Urgent Care - Colorado Urgent Care

Patient Forms

4 Convenient Locations To Serve You

For your convenience, please click on the link below and print out our intake form to fill out prior to visiting one of our clinics. This will save you time upon arrival. If you’d prefer, these forms are also available at the front desk and you can fill out once you arrive. Our patients typically see a physician in 30 minutes or less. Thank you for your business.

Download Intake Form

HIPAA Patient Consent Form

Emergi-Care Clinics
Emergi-Care Clinics
4 Convenient Locations To Serve You
(719) 594-0046

We want to get you seen in a timely manner, but please note that when you arrive, you will have additional paperwork to complete.