Welcome to Broward Medical Urgent Care
For your convenience and to save time in the waiting room, we have Digital Forms available for you to complete and submit online or print them at home and bring with you to the Clinic.
View & Complete Online Form
If you have scheduled an appointment or if you are about to stop by our clinic, go ahead and complete all the requested fields, Once you get here wait times will be minimum! Check-in process fast and easy guaranteed!
View Online Form
View & Print at Home
Not confortable completing the online form? You can download and print it at home! Just bring the form to our clinic and speed up your process! Keep in mind all our forms are HIPPA Compliant
Download FormSending SucceededThe registration was completed successfully.
Sending ErrorThe registration has not been completed.
ErrorTry again later.
Wait a moment...