Tower Health Urgent Care makes registration easy for first-time patients
Below are all the forms you will need to register as a first-time patient, complete a workers' compensation request, and authorize transfer of your medical records.
Patient Registration[PDF]Complete the indicated fields on the form below and present the completed form to our receptionist upon arrival. If you have questions about your registration form, the receptionist will be able to assist you.
Workers Compensation packets must be completed for each new injury.
Tower Health Urgent Care requires a Personal Healthcare Information (PHI) Release Authorization to transfer your medical records. If you need to transfer medical records, please complete the PHI Release Authorization form and fax it to any one of our locations. (You can find the fax number on each individual location page.)