ARIZONA URGENT CARE | 4 CONVENIENT LOCATIONS | OPEN 8AM - 8PM 7 DAYS A WEEK

Forms

Download Patient Forms

In an effort to expedite your check-in STATClinix is pleased to offer our registration forms for download. Complete this packet and bring it in with you to save valuable waiting time.

Patients need to complete the patient registration packet on their first visit and annually thereafter.

The STATClinix registration packet is available below.  Please note that all forms require the use of Adobe Acrobat Reader. You can download the Adobe Reader for FREE in case you don’t already have it.

General Forms

STATClub™ Form

If you will be joining our Medical Discount Program, please complete the STATClub™ Enrollment Form in addition to the forms above.