Patient Registration Forms

Thank you for considering Immediate Clinic for all your urgent care and employer service needs. Our goal is to provide the highest quality medical care your greatest convenience. Please feel free to access all patient registration, release and acknowledgement forms as well as employer service forms below.

If you have any further questions, please contact immediateclinic@multicare.org.

New Patient Registration Form

Established (returning) Patient Registration Form

Patient Acknowledgement and Consent Form

Employer-paid Services Registration Form