Registration Forms

New Extended Hours Starting Oct. 4: 8 a.m. - 10 p.m. on Weekdays & 9 a.m. - 5 p.m. on Weekends

INFORMATION

EXPEDITE YOUR VISIT

To expedite your visit, just click on the registration forms link below, print and fill it out, and bring it with you. It's that easy! Our established patients may call ahead for priority service.

Registration Forms »

What Our Patients Are Saying...

"Outstanding, efficient, courteous!" -- Julie

"Very impressed - will be happy to recommend." -- Todd

"Very refreshing care experience - nice, compassionate people and short wait time - very unusual!" -- Theresa

"Great staff!" -- Sam

"Excellent! One of the best medical experiences in a long time." -- Victoria

Registration Forms

For your convenience, the registration forms are in a Portable Document Format (PDF) to retain the original format and easy printing. To view or print these documents, you must use the Adobe Acrobat Reader. If you don't have the Adobe Acrobat Reader, click on the button below to get it. It's free. Otherwise click here to get the forms now.

If you have any questions or complaints, please contact:
South Tampa Immediate Care
Diane Hartzner
(813) 253-2113