Your patient paperwork can be filled out ahead of time by using the links below to access our patient registration and patient history forms. Please know there is no need for you to do this as we have all forms available in-house for you, but if you’d like to fill them out ahead of time you are more than welcome.

New York Doctors Urgent Care Patient Registration Form

Health History Form for Both NYD Offices

Your patient paperwork can be filled out ahead of time by using the links below to access our patient registration and patient history forms. Please know there is no need for you to do this as we have all forms available in-house for you, but if you’d like to fill them out ahead of time you are more than welcome.

Midtown New York Doctors Urgent Care Patient Registration Form

Health History Form for Both NYD Offices

Please be sure to bring or have the following pieces of information with you prior to your visit with us:
Driver’s license or photo ID
Insurance information
Payment for copay or self pay
List of medications, allergies, past surgeries
Parental Authorization Form (for minor without parent present)
If you insurance has a deductible or coinsurance, you will be sent a bill for the adjusted charges for the services rendered

For Current Patient:
If your insurance has changed, you will need to present your new card for verification.
If it has been some time since you last visited our facility, you may need to fill out some forms and present a current photo ID.

If you are unsure of your coverage specifics, please contact your insurance carrier directly for information regarding your visit and network benefits.