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Scottsdale, AZ  85255

1.888.862.0366

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Health History Form

Traveling out of town and need to make an unexpected trip to the urgent care? 

Share your Health History form with the urgent care so that they have your list of diagnoses and medications. 

Medicare consumers who have synced their data will get a generated list of diagnoses and medications. 

You may also self report diagnoses and medications such as over-the-counter medications and add details such as how and when you are taking your medications. 

Generate a link that can be shared to family members, caretakers and doctors.