Online Registration Forms
These forms can be used for patients at PrimeTime Pediatrics as well!
For the quickest check-in experience please use the online forms below to register for services, this will help expedite the process. Ideally you can fill these out prior to heading over to the office and you can call us when you arrive. These forms are encrypted and sent securely to our office, they are much more secure than email and more importantly they are HIPAA compliant (unencrypted email is not). We may have some additional forms for you to sign when you arrive, we can send these via encrypted email as well.
You can fill out the forms when you arrive at the office if necessary.
Once you have finished your forms, and you are at the clinic, please call:
New Patients Start Here
If you’ve never been a patient of a PrimeTime Urgent Care please start with our New Patient Registration Form.
If you have been a patient before, and you don’t need to update any of your contact or insurance information please fill out the Today’s Visit Form.
Secure File Upload
If you need to send us copies of your insurance cards, drivers license, or any other documents please use this form.