Patient Registration Forms

New Patient

Please click the button for our New Patient Registration Forms. You can print and complete the forms prior to your appointment to expedite your check-in.

Patient Registration Forms  

We look forward to seeing you at West Valley Urgent Care and West Valley Internal Medicine. Thank you!

Don’t have a Primary Care Physician?

No problem, at West Valley Urgent Care we can get you set up with a primary care physician at our sister clinic West Valley Internal Medicine. We offer affordable health care and cash discounts for the uninsured to ensure you receive the best health care at affordable prices. Why go anywhere else? At West Valley Care we can be your one stop for minor medical emergencies as well as your yearly checkups.