Skip to Content
  • Blog
  • Contact Us
  • About Us
  • Locations
    • Austin
    • Charleston
    • Dallas Fort Worth
    • Denver
    • El Paso

    • Houston
    • Kansas City
    • Las Vegas
    • Myrtle Beach
    • Nashville

    • Northern Virginia
    • Richmond
    • Rio Grande Valley
    • Salt Lake City
    • San Antonio
  • Services
    • Allergies
    • Diagnostic Testing
    • Immunizations

    • Infections
    • Occupational Medicine
    • Physical Exams

    • Urgent Care Conditions
    • Virtual Visits
  • Patient Resources
    MyHealthONE®
    • Billing and Payment Options
    • Accepted Insurance
    • Healthy Savings Membership Plan

    • Make a Payment
    • Medical Records
    • Patient Rights and Responsibilities

    • Self Pay Pricing
    • Urgent Care FAQs
  • Web Check-in CareNow
  1. CareNow urgent care
  2. Legal

Consumer Request Form

Both California and Colorado residents can complete this form regarding the collection of information.

Sign Up For Our Newsletter


Follow Us

Copyright 1999-2025 C-HCA, Inc.; All rights reserved.

  • California Notice at Collection
  • Right to Receive Estimate
  • Terms of Use
  • Notice of Privacy Practices
  • Privacy Policy
  • Social Media Policy
  • Acceptable Use Policy
  • Surprise Billing
  • Nondiscrimination Notice
  • Accessibility
  • Disclosures