Medical Appointment Screening Form

Do you need to be seen today for an urgent problem?

YesNo
No appointment is needed for an urgent problem.

Curry Health Center has walk-in hours 5 days/week:

Mon, Wed, Thurs, Fri: 08:30am - 11am AND 1:00pm - 4:00pm

Tuesdays we open at 09:00 instead of 08:30

Please come see us (634 Eddy Ave) and we will see you without an appointment
What type of concern are you seeking care for?

Mental Health ConcernImmunizations / VaccinesSexual Health Concerns / Sexually Transmitted Infection ScreeningWomen's Health / Annual PAPMusculoskeletal Pain / Sports InuryFollow-Up to Previous Curry Health ApptDermatology (Skin Care)Chronic Health Issue (Diabetes, Hypertension, Auto-Immune Disorder)Gender Affirming CarePhysicalsSomething not listed here
What type of physical are you seeking?

DOTSportsOther
Have you been seen at Curry Health Center before?

YesNo
Based on your responses here, our Patient Portal is the best place for you to schedule an appointment with a Curry Health Center provider.

Please use this link to complete the scheduling process:

https://umt.medicatconnect.com
Based on your responses here, we request that you call us to schedule an appointment with a receptionist. The appointment type you need is not currently available on our Patient Portal.

406-243-4330
Medical Appointment Screening Form
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