Patient Forms

For a quicker wait time, please bring completed forms with you to clinic.

Check-In Form

New Patient Registration Form

 

Please fill out any additional paperwork if applicable.

Authorization to Release Healthcare Information

Sport & School Physical Patient Registration

Consent for Medical Treatment of a Minor

DOT Patient Information

You may access the following registration forms prior to your visit. Please download, print, fill out and bring to the clinic. 
Please call us if you have any questions. Visit our Contact Us page for location information.

ONLINE APPOINTMENT

ONLINE APPOINTMENT
CHECK-IN

Check In Online

Addresses

  • The Urgent Care

    113 Belle Terre Blvd, LaPlace
    LA 70068 . (985)359 -2273

    148 Wall Blvd, Gretna,
    LA 70056 . (504)393-2273

  • Hours

    Weekdays: 8:30am - 8:00pm

    Weekends: 8:30am - 5:00pm

    Open Holidays!

  • Connect with Us