Schedule an Urgent Care Appointment We'll reserve this appointment time for 10 minutes (10:00 remaining) Please complete the information below to schedule this appointment. Your Selected Appointment: 02/05/2025 05:15PM Patient Information Patient First Name: Patient Last Name: Patient Gender: Male Female Patient Date of Birth: Reason for Visit: Allergic Reaction/Rash Cough, Congestion Eye Concern Fever Injury Shortness of Breath/Difficulty Breathing Sore Throat/Ear Ache Stomach Discomfort Urinary Discomfort Vomiting/Diarrhea Other Parent/Guardian Information Your Email Address: Your Cell Phone Number: