Xcel Urgent Care

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Xcel Urgent Care

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Form Downloads for Xcel Primary Care

New Patient Registration Form (pdf)

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Patient Financial Responsibility (pdf)

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Credit Card Authorization (pdf)

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HIPAA Compliance Consent Form (pdf)

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Notice of HIPAA Privacy Practices (pdf)

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Medical Records Release TO Xcel Primary Care Bilingual (pdf)

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Medical Records Release FROM Xcel Primary Care Bilingual (pdf)

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  • Immigration Exams
  • Travel Medical Services
  • Primary Care
  • Immunizations
  • Cosmetic Treatments
  • Insurance
  • Hours
  • Contact Us
  • Downloads for URGENT Care
  • Downloads PRIMARY Care
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