Book your visit.
Pick a time, answer a few questions, and pay online. It takes about three minutes.
Walk-ins are welcome too. Open 8 AM to 4 PM, every day.
What are you here for?
Pick a day and time
Open 8 AM to 4 PM, every day. Prefer not to book? Just walk in.
Only for emergencies and to reach you about your appointment.
We’ll email your receipt and appointment details. No email? We’ll print a receipt at the front desk.
You’ll still pay the flat price today.
Optional today. You can also give this to the front desk.
Take a photo of your insurance card, front and back. Optional.
Removal is free if we placed them. Otherwise it is billed as an urgent care visit ($99).
B12 shots contain cobalt. Besides medicines, tell us if you are allergic to cobalt or vitamin B12.
Driver information
We use this to fill in your DOT medical exam form. Match your driver’s license.
Tell us when it happened and why. This is optional, and your provider will go over it with you.
Tell us about the accident
This goes on your visit record and any insurance claim.
Consent to evaluation and treatment. I voluntarily ask Prosper Urgent Care and its providers, nurses, and staff to evaluate and treat me, or the patient I represent. This may include a history and exam, tests, procedures, injections, and prescriptions the provider believes are appropriate.
Risks and no guarantee. I understand that all care has risks and benefits, that no result is guaranteed, and that I may ask questions or decline any test or treatment at any time. I have given complete and honest information about my health, medications, and allergies.
Not emergency care. Urgent care is for non-life-threatening problems. If my condition gets worse, or I think I’m having an emergency, I will call 911 or go to the nearest emergency room. I understand I should follow up with my primary care provider or a specialist as advised.
Payment. I’m responsible for the price of the services shown at check-in, due at the time of service.
Prescriptions and medication history. I allow my provider to review my medication history and to send prescriptions electronically to the pharmacy I choose.
Privacy (HIPAA). I have been offered Prosper Urgent Care’s Notice of Privacy Practices. It explains how my health information may be used and shared for treatment, payment, and health care operations, and it describes my rights, including the right to see my records, ask for corrections, and ask for restrictions. I may ask for a paper copy at any time. Signing acknowledges that I received the notice. It does not waive any of my rights.
Contact. Prosper Urgent Care may contact me at the phone number I provided about my visit, and may leave brief messages without detailed health information.
Minors and representatives. If the patient is under 18 or cannot consent, the person signing confirms they are the parent, legal guardian, or other person legally authorized to consent for the patient.
Review your booking
Pay at your visit. Nothing is charged right now.
Your card is entered in Square’s secure form. Prosper never sees your card number.
or pay with a card
Cancel any time before your appointment for a full refund. No penalty.
Confirmation code:
When you arrive, please come to the front desk for your physical paperwork. We’ll hand you a form on a clipboard, since every school, team, and employer has different requirements. Bring any custom forms you were given.
Check in at the front desk with your name. Please arrive 5 minutes early. We’ll call your name when a room is ready.
Questions? Call (904) 990-6527