urgentmednetwork.com

NEW PATIENT FORMS

Please download and print the PDF to bring with you upon your visit. Alternatively,
you may contact your desired clinic location and email the application.

Download PDF

Patient Portal

Open Daily

Mon - Fri: 8am - 8pm*
Weekends: 9am - 5pm

Culver City Location- Monday-Friday: 8am-12 midnight
Saturday-Sunday: 8am-5pm
Free Parking

Free parking always
available

Convenient

On-site lab, X-ray &
Pharmacy

Affordable

Affordable rates for the
uninsured and we accept
most insurance plans