In and Out Express Care

Hampton Roads Urgent Care Clinics

Patient Forms

The forms below are available for you to download and print. To save time at your visit, completely fill out the form and bring it in with you. Some of the forms are editable using Adobe Acrobat so that you can type in your information after you have downloaded the form.

04.28.23

Temporary Change in Hours Starting May 2023

Please note the following changes to our hours of operation starting May 1, 2023:

Our Hampton and VA Beach offices will be open 7:30 AM – 6:30 PM,  and our Newport News and Chesapeake offices will be open 8:00 AM – 5:00 PM.