Palm
Urgent Care
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Request Appointment
Request an Appointment
Fill out the form below and our team will contact you to confirm your appointment.
Visit Type
In-Person Visit
Virtual (Video Call)
Full Name *
Phone Number *
Email Address
(optional)
Text-message updates (optional).
By checking this box, I agree to receive appointment-related text messages from
Palm Urgent Care
at the mobile number I provided above — including booking confirmations, appointment reminders, scheduling updates, and operational notifications. Message frequency varies, typically
up to 4 messages per month
.
Message and data rates may apply.
Reply
STOP
to opt out at any time, or
HELP
for help. Consent is not a condition of booking, scheduling, or receiving care. See our
SMS Terms
and
Privacy Policy
.
Date of Birth
(optional)
Preferred Location
Select a location…
El Cajon (Mollison)
El Cajon (Magnolia)
National City
San Ysidro
Reason for Visit
Select a reason…
Urgent Care Visit
Mental Health / Counseling
Physical Exam
Lab Test
Other
Additional Information
(optional)
Preferred Contact Method
Phone
Email
I understand this is an appointment request only, not a confirmed appointment. Palm Urgent Care will contact me to confirm.
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