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Pre-registration Check In

Registration Forms

Print and then fill out your form:

Along with your completed form, please remember to bring your photo ID, your insurance card and a method of payment.

PDFs require Adobe Reader to view and print, which can be downloaded here.

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I had to take my son in for an ear infection following a sudden change in temperament at daycare. He was inconsolable the entire car ride but when we got there and by the time we left this care facility he was back to his normal happy go lucky little two year old boy. I highly recommend Yale New Haven Health Urgent Care.

Patient: Connecticut

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Frequently Asked Questions

Are you associated with any hospitals?

We are proudly associated with Yale New Haven Health in Connecticut and New York. We, also, work collaboratively with local providers, including your primary care or specialty doctor, across Connecticut and New York.

What are your staff’s qualifications?

Our experienced providers are trained in emergency, family, and internal medicine. In fact, you’ll find many are the same experts who have treated patients in local area hospitals.

How much will my visit cost?

For information on the estimated cost of a self-pay visit, please visit our Price Transparency page.

If you have a question regarding billing, please visit our Billing and Insurance page to learn more.

To pay your bill online visit our Billing and Insurance page.

Do you accept insurance?

Yes, we accept most major insurances. Your co-pay is collected and required at the time of service. Please visit our Accepted Insurance page for more information.