The AAUCM maintains a large database of documents and resources for our members to assist with their Urgent Care practice. As a member of the AAUCM, you have the opportunity to download complimentary forms, reference charts, flyers, brochures and more for use in your practice.

AAUCM Members, to download, log in to your Member Center account. Not an AAUCM member yet? Click Here to Join and begin enjoying access to these and many other Member Benefits! 

The following documents are available to download in the Document Center:

Forms for Use in Your Practice

Blood and Body Fluid/Needle Stick Injury Flow Sheet
Patient Registration Form
New Patient Form
Hepatitis Results Form
Blood and Body Fluid/Needle Stick Injury Flow Sheet
Back Pain Form
Back Pain Treatment Tree
Emergency Treatment for Your Child Form
Declaration of Living Will
Emergency Contact Information Form
Request for Amendment of the Medical Record
Emergency Contraception Plan
Chest Pain Patient Consent Form
Addendum Note to Chart for Laceration Repair
A Pre-Participation Physical Evaluation
Information and Photograph Authorization/Release for Educational Purposes
One year follow up note
Two week follow up note
Three month follow up note
Four day follow up note
Four week follow up note
Six month follow up note
Six week follow up note
Exposure Record Content Checkoff List
Exposure Program Clinical Note
Occupational Exposures to Blood - What Healthcare Personnel Need to Know
Sample Lab Requisition Form
Sample Med Hx for BBPEP
Sample Refusal of Med Tx
Bloodborne Pathogen Exposure
Protocol Medication Log
Worker Training and Instruction Record

Reference Charts

Vaccines
Quick Reference Guide for DOT Physical Examinations
Hepatitis Quick Reference Chart
Pediatric Vital Signs
Travel Medicine
Malaria Prophylaxis
Diarrhea Treatment
Medical Therapy for Acute Anaphylaxis
Ophthalmic Medications for Allergic Conjunctivitis
Adult Appropriate Antibiotic Use Summary
Low Intensity/High Yield Quick Guide for Asthma Management
Dimetapp Reference Guide
Evaluation and Management Coding Reference Sheet
Clues That Suggest Specific CAP Pathogens
Signs Suggestive of Nonorganic Back Pain

Urgent Care Center Protocol Templates

Abdominal Pain
Anaphylaxis
Allergic Reactions
Asthma
Chest Pain
Drug Seeking Activities
Emergency Situation-Patient Unresponsive
Head Injuries
Headaches
Payments on Accounts in Collection Update
Quality Assurance and Improvement
Telephone Protocol
Treatment Consent for Unconscious or Legally Incompetent Patients
Treatment of Patients under the Americans with Disabilities Act
Triaging and Medical Emergency

Miscellaneous

How to Deal With a Difficult or Threatening Patient
Survival Spanish for Health Care Professionals
Updated Adult Immunization Schedule
Provider Attestation of Urgent Care Competencies
Avoiding Abandonment Claims – Sample Letters
AMA SDPS Code Change Form
Clinic Phone Message for H1N1
Important Florida Health Hotline Phone Numbers
Major Equipment List
Dosage and Administration of Influenza A (H1N1) 2009 Monovalent Vaccine Live, Intranasal
Dengue Information for Clinicians
Dengue and Dengue Hemorrhagic Fever
MRSA Guidelines
Urgent Care Billing - Questions to Ask When Selecting a Billing Company

Flyers/Brochures

Why Urgent Care?
Your Child and Antibiotics

The following documents are available upon request to AAUCM members:

Salary Info

Physician Incomes
Urgent Care Medicine Compensation
Urgent Care Medicine Compensation Profiles (Physician)
Urgent Care Medicine Compensation Profiles (Nurse Practitioner & Physician Assistant)

Medical Assistant Standards

Basic Machine Operator (BMO) Checklist
Medical Assistant Checklist
Medical Assistant Pre-Test
Medical Assistant Skills Checklist
Medical Assistant Team Skills
Medical Assistant Pre-Test
Medical Assistant Sub-Test 1
Filing Medical Assistant Sub-Test 2
Math Medical Assistant Test Answers

Miscellaneous

Common Diagnosis Codes
CPT New Billing Standard
Insurance Rates
Medical Record Review - Provider Chart Audit
PA Collaborative Practice Agreement
PA Performance Appraisal
Physician Quality Reporting Initiative
Provider Attestation of Urgent Care Competencies
Renting-A Physician’s Guide to Understanding Commercial Property Leases
Sample Business Plan for the Start Up and Operation of an Urgent Care Center
Sample Employment Contract
Treatment Prices
Urgent Care Medicine Physician Standards
Urgent Care Center Criteria
Suggested Major Medical Equipment for an Urgent Care Center
Urgent Care Center Quality Assurance Checklist
Urgent Care Coding Urgent Care Policies and Procedures for Hospital Urgent Care Centers    

Is there something you need that you don’t see listed? Simply contact the AAUCM and put in a request! We will locate the information you need!

The AAUCM also has an Operations Manual Template and an Urgent Care Center Quality Assurance Checklist available. To purchase: 

Operations Manual Template Order Form

Urgent Care Center Quality Assurance Checklist Order Form