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Patient History Form

Patient Data Verification Sheet

Continuing Consent For Medical Treatment of a Minor

Medical Records Release from Florida Urgent Care Center

Minors
Anyone under 18 years old must be accompanied by parent or legal guardian on each visit until a consent to treat form (above) is completed.


Prescriptions
Because of possible drug interactions and in order to properly treat you, it is helpful to bring all of your current medications or a list with you. This should include any vitamins or health supplements that you buy without a prescription.

Please be aware that some health plans may limit the brand or quantity of your medication. Allow 3 business days for refills of routine medications.

Bring all prescription and insurance cards.

Referrals
If your insurance plan requires a Referral Authorization for specialty care or diagnostic procedures, please allow up to 5 business days for routine referrals. We will do our best to accomplish the referral as quickly as possible.


Frequently Asked Questions

Q. What forms of payment do you accept?
A. We accept:
     - Visa
     - MasterCard
     - American Express
     - Discover
     - Check
     - Cash

Q. What do I need to bring with me?
A. Please bring a photo ID and your insurance card with you when you visit our center.  Please be sure to let our staff know of ANY allergies, current medications and your medical history.

Q. What is the difference between Urgent Care and Emergency Care?
A. Basically emergency care refers to those things which could be beyond the scope of any urgent care center, as they could prove to be life-threatening and thus require the full resources of a hospital.

Q.   Does Florida Urgent Care Center replace my primary care physician?
A.   No, at Florida Urgent Care Center, our goal is not to replace your primary care physician but to be available, when their office may be closed or when it is impractical to be seen by them promptly.

Q.  When should I use an urgent care center rather than my regular doctor?
A.  Use your regular doctor when you can. We are here to assist in your care if you cannot schedule a convenient appointment. You will find the urgent care can handle your problem promptly.

Q.  Why not use the Emergency Room?
A.  If you have a true life threatening emergency, you must go to an emergency room. However, most patients do not need the expense and delay of the emergency room for urgent illnesses/injuries.

Q.  Do we work with other doctors?
A.  We often act as firemen for your regular doctors. We see patients when your doctor is out, after hours, weekends and holidays. We handle the urgent problem immediately and refer back to the primary care doctor the next day.

Q.  Do you refer patients to specialists?
A.  Yes. We handle immediately urgent problems such as sprains, fractures, lacerations, vomiting, diarrhea, dehydration, etc. and refer patients to the appropriate specialist the next day or immediately if the illness warrants.

Q.  Is x-ray available?
A.  Yes. We have x-ray facilities on site with x-ray technicians on staff.

Q.  Do your doctors have regular patients?
A.  Since we are a walk-in urgent care center, our emphasis is on the urgent care patient. Some patients use us as their primary care provider.


Q.  If I make an appointment, will I be seen on time?
A.  Usually, but we are an urgent care center and we take patients as they arrive.

Q.  Do we see patients with urgent illnesses?
A.  We will see patients for almost anything: bladder-infections, flu, colds, high blood pressure checks, minor trauma, fractures, lacerations, ear wax removal, rashes, bites, muscular pains, etc.


 

 
 Services Include

• Allergic reaction

• Asthma and breathing treatments.

• Arthritis

• Pediatrics Assessments

• Abdominal discomfort/pain

• Bronchitis

• Back pain

• Cough

• Constipation

• Diarrhea

• Ear/Nose/Throat

• Headache

• High Fever

• Flu vaccines

• IV Fluid Therapy

• Quick Strep

• Monospot Test

• Joint pain/Minor fractures

• Nausea/

• vomiting

• Rashes/Itch

• Sore throat

• Sexually Transmitted diseases

• Upper respiratory tract infection

• Urinary tract infection

• Wound/ Burn care

• Suturing/ laceration treatment

• Minor Musculoskeletal trauma

• Dressing change

• Orthopedic problems

• Gynecological issues

• Pap-smear, cultures

• Laboratory reevaluation

• BP check

• School/Employee physicals

• Immunization

• X-rays

• Workers Comp.

• DOT Physicals

• Splinting/ taping

• Sport injuries

• EKG’s

• Pregnancy Testing

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