| Walk-in Medical Care

Tel: 585-391-3988       Fax: 585-391-3990

Address:  6565 4th Section Rd, suite 100, Brockport NY 14420

Forms:

 

To download the desired forms please click on their download links below

 

General Forms and Procedures

 

Patient Registration Form - Download

 

Patient Insurance Information – Download

 

Medical Records Release Form – Download

Brockport Urgent walk in medical care clinic

Tel: 585-391-3988   |   Fax: 585-391-3990   |   Address: 6565 4th Section Rd, suite 100, Brockport NY 14420

ASAP+ | Walk-in Medical Care