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:

706-705-4543

 

 

New Patients Start Here

If you’ve never been a patient of a PrimeTime Urgent Care please start with our New Patient Registration Form.

Please also review our Privacy Practices, HIPAA Release, and our Financial Policy. For your convenience we can email you digital versions of these forms you can sign prior to your visit as well.

 

Established Patients

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.

Our Address:
1618 Mars Hill Rd Suite A,
Watkinsville, GA 30677

Next door to Prime Time Pediatrics in the Windridge Office Complex

Phone:
706-705-4543

Fax:
706-705-4635

Email:
info@primetimeurgentcare.com

Hours of Operation

Monday 7:30a-7:00p
Tuesday 7:30a-7:00p
Wednesday 7:30a-5:00p*
Thursday 7:30a-7:00p
Friday 7:30a-7:00p
Saturday 7:30a-7:00p
Closed on Sundays

 

 

 

PrimeTime Urgent Care

Better Care Starts Here

Use the form below to contact us for general questions.
Please use the online registration  for secure communications.

Or call — (706) 705-4543