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Xpress Urgent Care - Costa Mesa

131 East 17th Street

Costa Mesa, CA 92627-3792

949-548-8400

If this message appears we currently don't have any available appointments. Please return at a later time.

Please be sure to read the following before starting your registration process.

1. Please use your full legal name exactly as it appears on your state-issued ID, driver’s license, or passport. Do not use nicknames or abbreviations.

2. Complete all steps (1 through 5) of the registration process.

3. Only credit and debit cards are accepted. Cash is not accepted.

Important: This form is intended to streamline the registration process; however, it does not guarantee an appointment or a specific time to be seen. Our urgent care operates as a walk-in clinic, and as with all walk-in services, patients are seen on a first-come, first-served basis. Our staff is doing their best to accommodate the selected times but wait times may still vary depending on patient volume and availability.

Thank you for your patience and understanding
But first, please make sure you don't need to call 911.

Please fill in additional patients.

Select a reason:

The clinic has reached its limit for this visit reason today.

Patient First Name

Patient Last Name

Visit Day

Visit Time

Email

Cell Phone Number

Date of Birth

Are you a new patient?

How did you hear about us?

How did you hear about us?

Birth Sex

Please arrive 10 minutes before your scheduled time to check-in.

minutes before my visit

I have reviewed the information on when to call 911.

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