New Patient Forms

Thank you for choosing Braselton Urgent Care!

To save time during your first visit:

1. Download and print all forms on this page. Complete them and bring them in with you along with your ID and insurance card.
2. Complete the forms in your browser and save them on your laptop or computer. Email all forms along with a copy of your ID and insurance card to FrontDesk@BraseltonUrgentCare.com.

Medical Release FROM Braselton Urgent Care

Medical Release TO Braselton Urgent Care

Workers’ Comp Form