Patient Forms 

New Patients

Click for New Patient Registration Form

To speed up your registration process, download and complete our New Patient Registration form prior to your appointment. Bring this form with you to your office visit, or upload it to your ApproXie patient portal.

Wellness by ApproXie

Click for Wellness Program Information

For detailed information on our weight loss treatments, and the qualifying and disqualifying factors for treatment, please click the button above.

Click for Wellness Program Pricing

For detailed information on the pricing of our treatments and services, please click the button above.

Click for Instructions on Booking Your Wellness Appointment

For instructions on how you can schedule your appointment with Wellness by ApproXie, please click the button above.

Click for Weight Loss New Patient Registration Form

To speed up your registration process, download and complete our Weight Loss New Patient Registration form prior to your appointment. Bring this form with you to your scheduled appointment.

Click for Consent for Semaglutide Form

To speed up your registration process, download and complete our consent form for treatment with Semaglutide. Bring this form with you to your scheduled appointment.

Occupational Medicine

Click for DOT Physical Form

ApproXie Urgent Care is proud to provide DOT physicals. Please download, print, and complete the demographics portion of this form prior to your appointment. 

Click for Employer Authorization Form

To be seen for a Workman’s Comp injury visit, please instruct your employer to download and complete our Employer Authorization form.  Fax this form to 256-325-0240.

Click for Workman's Comp Demographics Form

Prior to your Workman’s Comp appointment, please download and complete the above demographics form in its entirety. Fax this form to 256-325-0240.

Click for Urine Drug Screen Form

Please download the above form and instruct your employer/authorizing party to complete Step 1.