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(800) 217-7440
careteam@24hourphysicians.com

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24hourPhysicians® provides immediate phone access 24/7/365 to a doctor for personal consultation and diagnosis.

Address Info

24 Hour Physicians
San Simeon Place
2121 W Spring Creek Pkwy, #234
Plano, Texas 75023, US
(800) 217-7440
careteam@24hourphysicians.com

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careteam@24hourphysicians.com
(800) 217-7440
San Simeon Place 2121 W Spring Creek Pkwy, #234, Plano, Texas 75023, US

IF YOU HAVE A MEDICAL OR A BEHAVIORAL HEALTH EMERGENCY, CALL 911.

Seek immediate medical attention if you experience a life-threatening condition or acute or severe symptoms.

Copyright © 2021. 24hour Physicians.http://ww.24hourphysicians.com

Appointment Signup

Request An Appointment – Same Day Physician Consultation

Please complete the entire Request An Appointment form to the right. After we have confirmed payment and reviewed your Appointment Request information we will contact you.

Normal wait time to be contacted is within one hour from submitting the Request An Appointment form.

Cell Phone

This form must be completed before we can schedule your appointment. Please complete all information as accurately as possible to ensure we can best meet your satisfaction.

Please note, we CANNOT prescribe narcotics, or controlled substances.

Patient Information

First Name

Middle Name

Last Name

Email

Patient’s Sex

Date of Birth

Address

Address 2

City

State

Country

Zip code

Select a State for Services:

Preferred call

Medical Information

Pharmacy Phone.

Current Medical Concern

Known Allergies

Height (inches)

Weight (lbs)

Smoker?

Body Temperature (F)

Please list all current medications (Rx, Over the counter, Home remedy):

Date of Last Physical

Any medical history not covered in any of the previous questions?

Do you have Cardiovascular disease?

Primary Physician Name

Primary Physician Phone

I acknowledge that the information above and attached is complete and accurate.

Signature: Type your FULL NAME

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