PATIENT FORMS
Save Time
at Check-In
Quick, easy access to the forms you need before you arrive.
- Patient forms
Forms made easy, just for you.
Download Patient Forms
Please click on any of the below forms. You can print, fill out, and either fax to our offices OR bring the form(s) with you to your next visit.
Patient
Registration
Provide basic information needed to register you for your visit.
Download Form →
Consent Assignment
& Release
Authorize treatment and allow billing to insurance when applicable.
Download Form →
Minor
Authorization
Grant permission for a minor to receive care without a parent present.
Download Form →
Notice of
Privacy Policies
Explains how your medical information is used and protected.
Download Form →
Occupational Health Services Request
Request occupational health services for employees or job candidates.
Download Form →
Occupational Health Services Client Information
Collect company information and contact details for occupational health services
Download Form →
MHSAA Sports Physical Form
Required physical form for student athletes participating in school sports.
Download Form →
Release of
Medical Records
Allow medical records to be shared with approved individuals or providers.
Download Form →
Email Communications Consent
Give permission to receive appointment and care-related emails.
Download Form →
Please fax completed forms to: 517.333.9201
Have Questions About a Form?
If you’re not sure which form you need, our team is happy to help!
- Our Services
Healthcare is our Specialty
Whether it’s a sprain, sore throat, or school physical, Lansing Urgent Care is here for life’s unexpected moments. Our skilled medical team offers a wide range of walk-in services — so you can get quality care, close to home, without the long wait or high cost of the ER.
- Our Process
Care Made Simple
Skip long waits and paperwork. We make checking in fast and stress-free, so you can get the care you need and get back to feeling better soon.
Online Check-In
Save your spot ahead of time and wait from home, your car, or wherever you’re most comfortable — your time, your terms.
Walk-ins Welcome
No appointment needed — just stop in when you need care. We’re ready when life happens.
Fast, Coordinated Care
Our team keeps care moving — so you get answers and relief without unnecessary delays.
- TRUST
Why Thousands Trust LUC for Their Care
Safe. Respectful. Patient-centered care.
Experience the difference.
- Fast visits without the ER wait…or Cost
Patients know they can get in, be seen quickly, and get back to their day — no hours-long waiting rooms.
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- Friendly Faces, Consistent Care
Our providers and staff treat patients like neighbors, not numbers — with familiar faces and care you can count on.
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- Convenient Locations & Hours
Open seven days a week with multiple Lansing-area locations, so getting care fits your schedule — mornings, evenings, and weekends.
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- Everything You Need, One Visit
With X-rays, labs, testing, and medications all under one roof, patients get answers faster — without multiple appointments.
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- Patient Review's
Why Thousands Choose LUC
Why Thousands Choose LUC
Real reviews. Real patients. Real stories.
Reviews brought to life in a fun, animated way.
Leave us a Google review and you could be our next featured face!
I was in and out in under 45 minutes, back home in under a hour feeling relief. The receptionist was kind, patient and efficient, The medical assistant was a joy and listened intently, she was born for the medical field. Finally the person who handled my discharge was clear with follow up instructions and very pleasant. 10/10 for everyone today, thank you! Finally, Angela was the perfect balance of problem solver and empathetic human.
"This has always been my go to place when I’m dealing with a potential sinus infection. I love that you can check in online ahead of time and not have a long wait. It’s such a clean facility, and everyone I have seen there over the years has always been very kind and professional. Highly recommend this place!"
Great experience 3 different times here for myself, and my kids! Not only has it been fast and efficient, they are finding new ways to help by adding some meds available from them immediately! I didn't have to cart my sick son around to the pharmacy after going to the doctor. Highly recommend these folks!!
Tara P.
Google