Patient Forms
Make your first visit fast and efficient.
Make your first visit fast and efficient.
Make your first visit fast and efficient.
To make your visit to ExperCARE as efficient as possible, we have provided the following patient forms for you to fill out before you arrive. Simply click on the appropriate link and the form will automatically download for you to print.
This notice describes how medical information about you may be used and disclosed, as well as how you can get access to this information.
New patients need to provide personal and work related info, as well as insurance details and guarantor contacts.
Patient consent assignment and authorization for treatment and notification of center policies.
If a minor child will receive treatment when accompanied by someone other than the parent or guardian, or by himself or herself.
ExperCARE Urgent Care Richmond Hill
912.756.2273
60 Exchange St.
Suite B-7
Richmond Hill, GA 31324
ExperCARE Urgent CARE in Rincon, Georgia
912.812.1001
463 S Columbia Ave
Rincon, GA 31326
ExperCARE Urgent Care Savannah Mall Blvd
912.358.1515
318 Mall Blvd.
Suite 300B
Savannah, GA 31406
ExperCARE Urgent Care Downtown Savannah
912.800.0110
818 Abercorn Street
Savannah, GA 31401
ExperCARE Urgent Care Hinesville
912.756.2273
632 W Oglethorpe Hwy
Unit A, Hinesville, GA 31313
912.800.6004
2201 Pooler Parkway, Suite 700
Pooler, GA 31322
ExperCARE Urgent Care Statesboro
912.680.0020
121 Tormenta Way
(Next to Publix)
Statesboro, GA 30458