Grand Prairie Urgent Care And Family Medicine - Virtual Visit

Grand Prairie Urgent Care And Family Medicine

Virtual Visit

Open now

9:30am to 8:00pm CDT

GRAND PRAIRIE URGENT CARE AND FAMILY MEDICINE (GPUC) WILL BILL YOUR INSURANCE FOR THE VIRTUAL VISIT. INCASE OF NON-PAYMENT FROM YOUR INSURANCE COMPANY, THE PATIENT OR GUARANTOR WILL BE RESPONSIBLE FOR PAYING GPUC THE CURRENT SELF PAY RATE.

REASON FOR VIDEO VISIT

CHOOSE A DATE AND TIME:

HAVE YOU BEEN TO GRAND PRAIRIE URGENT CARE AND FAMILY MEDICINE BEFORE?:

Yes

PATIENT INFO:

Patient first name

Patient last name

Year

Mobile number

Email address

HOME ADDRESS:

Street Address

Apt, Suite, etc (optional)

City

ZIP code

HOW DO YOU WANT TO PAY?*

Insurance

Self-Pay

If you select insurance, your responsibility will vary depending on your plan. Self-pay is a flat rate of $75.

I have read, understand and agree to Solv Health’s Terms of Service, Financial Relationships, andPrivacy Policy.

I give my consent for the use of telemedicine in my medical care and have read, understand, and agree to these Terms

Bookings by Solv.

For emergencies please call 911