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Applicant understands that this is an equal opportunity  employer and committed to excellence through diversity.In order to ensure those application is acceptable,please print or type with the application being fully completed in order for it to be considered.

Please complete each section Even if you decide to attach a resume.

I,the applicant ,certify that my answers are true and honest to the best of my knowledge.If this application leads to my eventual employment,I understand that any false or misleading information in my application or interview may result in my employment being terminated.

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<p>For emergencies, please call us at (682) 323-8899 or call 911. By submitting, you agree to receive text messages from PrimeCare Emergency Center at the number provided, including those related to your inquiry, follow-ups, and review requests, via automated technology. </p>

Personalized Care You Can Trust Your Family With

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<p>It’s important to know where your nearest emergency center is in the most unexpected of times, that's why the staff at PrimeCare Emergency Center offers services to their patients 24-hours a day, 7 days a week!</p>

Emergency Center in Arlington

You Don't Have to Come Into the Office for a Fresh Start

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Need us to have your complete history? Use this form to request that another healthcare provider or facility send your medical records directly to PrimeCare Emergency Center.

I authorize PrimCare to disclose the above name individual’s private health information.
This information may be disclosed TO and used by the following individual or organization:

I understand that the information in my health record may include information related to sexually transmitted disease, acquired immunodeficency syndrome (AIDS), or human immunodeficency virus (HIV). It may include information about behavioral or mental health services, and treatment for alcohol and drug abuse.

If no expiration is selected, the authorization will automatically expire 180 days from the date of signature, as permitted by Texas law.

I have the right to revoke this authorization at any time by submitting a written notice to PCEC.

If I revoke, PCEC will stop using or disclosing my PHI after the revocation date, except for actions already taken in reliance on this authorization.

I understand that once my health information is disclosed to the recipient listed above under this authorization, that recipient may redisclose my information, and that it may no longer be protected by federal or Texas privacy laws.
If I revoke, PCEC will stop using or disclosing my PHI after the revocation date, except for actions already taken in reliance on this authorization.

Fee charged for reproduction of records:
$25 (pages 1-20),
$0.15 per page thereafter

Cost of Affidavits/Notary (If needed):
$15 per signed page

Request Another Provider to Send Records to PrimeCare

Authorize PrimeCare Emergency Center to send your medical records to you, a family member, another healthcare provider, or an insurance company.

I hereby authorize the release of information concerning my treatment from:

You have the right to revoke this authorization at any time by submitting a written revocation to PrimeCare Emergency Center’s Medical Records Department. Revocation does not apply to information already released in response to this authorization.

24/7 Emergency Care in Arlington with Free Follow-Up Visits

We are open every hour of the day, even on weekends and holidays, so you can get care whenever you need it. If you have been treated for a minor injury and are not feeling better, come back for a free follow-up visit. We want to make sure you are recovering properly and feeling like yourself again.

Get back on your feet quickly with the medical care you deserve

PrimeCare Emergency Center offers the high-level expertise of a hospital emergency room with the personal feel of a neighborhood clinic. Open 24/7 in Arlington, we are here to provide fast, professional care for minor injuries and illnesses so you can get back to your life as soon as possible.

Addressing Small Issues Before They Grow

Complete Care for Your Common Medical Needs