Patient Info


Make your PMC Urgent Care visit as quick and convenient as possible.

To expedite your treatment, please bring the following items with you:

– Driver’s license or picture ID

– Insurance card (if you have insurance)

– Parental Authorization Form (if applicable)


DOWNLOAD Registration Forms Now

Fill out the PDFs and either Email, Fax, or Print and bring to your visit.

Email to:

Fax: Madison, IN: (812) 274-2899

La Grange, KY: (502) 222-0029


Registration Form

Consent To Treat

HIPPA Privacy 

Medical Release


Insurance Information

Most all government and commercial insurances are accepted; including Medicare, Passport, and all other Medicaid plans. As a designated urgent care practice, a referral from your primary care physician is not necessary. Pre-authorizations from your insurance company are also unnecessary. Pay only your standard co-pay.

PMC Urgent Care will file an insurance claim for your urgent care visit with all contracted plans. Insurance co-payments and deductibles are collected at the time of service and are payable via cash and most major credit cards. You may contact the PMC Urgent Care clinic you plan to visit in order to verify insurance coverage and confirm accepted methods of payment.


Frequently Asked Questions