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Patient Center

If you or a loved one recently experienced a change in employment status that resulted in a loss of health insurance coverage, or if you simply need help understanding potential coverage options, please call our hotline at (833) 541-5757.
Welcome to HP Long Urgent Care Clinic! We are happy to provide your medical care. To help us serve you better, please print and fill out these forms before arriving for your appointment. Be sure and bring them with you to your appointment. If you have any questions, feel free to call our Patient Advocate at 1-844-504-4163 (toll free).

Patient Forms

Forms for the (private) Insured

Forms for the Non-Insured

Forms for the Medicare Insured

Forms for the Medicaid Insured