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Nova Urgent Care Center REGISTRATION FORM PLEASE COMPLETE THE FOLLOWING INFORMATION (PLEASE PRINT CLEARLY AND LEGIBLY) DATE: REASON FOR VISIT: PATIENT INFORMATION: PATIENT LAST NAME: FIRST: MI: ADDRESS:
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How to fill out inova urgent care center:

01
Visit the front desk or reception area upon arrival at the inova urgent care center.
02
Provide your personal details, such as your name, date of birth, and contact information.
03
Fill out any necessary forms or paperwork that may include medical history, insurance information, and the reason for your visit.
04
Wait for your turn to be called by the healthcare provider or nurse.
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Follow the instructions of the healthcare provider regarding any necessary tests or examinations.
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Answer all questions truthfully and provide accurate information about your symptoms or medical history.

Who needs inova urgent care center:

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Individuals who experience sudden or unexpected illness or injury and require immediate medical attention.
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Those who are unable to see their regular primary care physician due to unavailability, after-hours emergencies, or scheduling conflicts.
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People with non-life-threatening conditions that can be treated promptly by urgent care medical professionals.
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Patients needing immediate medical assistance but do not require the level of care provided in an emergency room setting.
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Individuals seeking convenient and accessible healthcare services for minor illnesses, infections, minor injuries, advice on managing chronic conditions, or preventive healthcare needs.
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Inova Urgent Care Center is a medical facility that provides immediate healthcare services for non-life-threatening illnesses and injuries.
Inova Urgent Care Center does not require any filing. Patients visit the center to receive medical treatment.
Inova Urgent Care Center does not require any forms to be filled out. Patients are attended to by healthcare professionals without the need for prior paperwork.
The purpose of Inova Urgent Care Center is to provide prompt medical attention to individuals with non-emergency health concerns, offering accessible and convenient healthcare services outside of regular clinic hours.
Inova Urgent Care Center does not require any specific information to be reported. However, patients are typically asked for their personal and medical information during the consultation process for record-keeping purposes.
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