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.

09.15.22

New Hours Starting October 2022

Please note the following changes to clinic hours starting October 1, 2022:

Our Newport News and Chesapeake clinics will be CLOSED on SATURDAYS. We apologize for any inconvenience. This is only temporary, due to staffing shortages.