Forms

Here are three of our patient forms that we have you fill out with your contact and medical information. You can download them and bring them in with you so you don’t have to spend time filling them out while you’re here. At Village Emergency Centers we have taken the steps to reinvent the way emergency and urgent care is provided.

At Village Emergency Centers we have taken the steps to reinvent the way emergency and urgent care is provided. Our 24-hour emergency centers offer services that are available to those who need us 365 days a year. We understand hospital emergency rooms can often lead to long wait times, high costs, and uncomfortable atmospheres. This is why we strive to provide a relaxed environment with shorter waiting periods and top-notch equipment.

 

Patient Sign-In Sheet

Patient Rights and Responsibilities

Assignment of Benefits and Consent for Treatment

 

What We Treat

  • Abdominal pain
  • Allergic reactions
  • Altered mental status
  • Asthma and breathing problems
  • Bone setting and splinting
  • Bronchitis
  • Burns
  • Cold treatment
  • Complete pediatric care
  • Chest pain and heart issues
  • Dehydration
  • Flu treatment
  • Foreign body removal
  • Head injuries
  • Overdoses
  • Pain control
  • Pneumonia
  • Rashes
  • Insect bites and stings
  • Seizures
  • Sinusitis
  • Lacerations
  • Spains and broken bones


Pediatric Treatments

  • Cold and flu
  • Asthma attacks
  • Abdominal pain
  • Ear infections
  • Allergies
  • Lacerations
  • Burns
  • Conjunctivitis (pink eye)
  • Infections
  • Orthopedic injuries
  • And More
What we offer

Services

Our Locations

Choose your preferred location