"Let Us Know Your'e Coming"

Notify us of your expected arrival time and reason for visiting. We'll be ready when you get here—final care recommendations are made after assessment.
Step 1: Pick Your Emergency Room Location & Enter Your Information
Location (TotalCare Emergency Room Facilities Only)*

Arlington Central - 3321 S. Cooper St. Arlington Texas 76015Arlington/Mansfield - 8020 Matlock Rd., Arlington Texas 76002Benbrook - 8501 Benbrook Blvd Suite 103 Benbrook Texas 76126Carrollton - 2745 E Belt Line Rd, Carrollton, TX 75006Cedar Hill - 850 N Hwy 67 Cedar Hill Texas 75104Denton - 3111 Teasley Ln Denton Texas 76205DeSoto - 800 W Belt Line Rd DeSoto Texas 75115Garland - 738 West Centerville Road Garland Texas 75041Fort Worth - 1101 University Dr Fort Worth Texas 76107Frisco - 5245 Preston Road Frisco Texas 75034Weatherford - 709 S Main St Weatherford Texas 76086
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Sex
Contact Number:
E-mail
example@example.com
Please tell us what brings you in?*
Step 2: Estimated Arrival Time

This is not an appointment, just an approximate arrival time
Please select the time when you can come in and see us.*
Step 3: Enter Your Emergency Contact Info
Emergency Contact:

First NameLast Name
Relationship
Contact Number
If this is a medical emergency, please call 911
Sender Name
Reply Email
Link for google maps on thank you page
Should be Empty:

Step 1: Pick Your Emergency Room Location & Enter Your Information