Acute Care Spot & Healthy Living Clinic Online Registration

Our registration process is simple. FIRST enroll online by completing the following form. SECOND you can register to the PATIENT PORTAL ACCESS. The following form creates an appointment request only, not a confirmed appointment. Upon completion of this form, a representative will contact you within 48 hours to assist you with your appointment request. Feel free to contact us to make your appointment or  create access to your patient portal. If you desire to "enroll" and "make an appointment" to be seen as soon as possible please click on the button below.

BEGIN REGISTRATION NOW
PATIENT PORTAL ACCESS
PDF ENROLLMENT FORMS
UPDATE OF ENROLLMENT
OTHER FORMS
PDF ENROLLMENT FORMS
FORM - ENGLISH

Please download, print and complete this enrollment form and bring it the day of your appointment. 

FORM - ESPAÑOL

Baje (download), imprima y complete esta forma registración. Favor de traer esta forma impresa y llenada el día de su visita medica.

UPDATE OF ENROLLMENT
UPDATE - ENGLISH

Please download, print and complete this enrollment form and bring it the day of your appointment. 

UPDATE - ESPAÑOL

Baje (download), imprima y complete esta forma registración. Favor de traer esta forma impresa y llenada el día de su visita medica.

OTHER FORMS
USCIS EXAM - FORM

Form for immigration exam, please download, print and complete this form and bring it the day of your appointment. 

OTHER FORM

Please download, print and complete this enrollment form and bring it the day of your appointment.[EMPTY]