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

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

Hand Injury Template

Repair of Nailbed with Subungual Hematoma Template

Repair of Nailbed with Avulsion and Stent Placement Template

I & D Abscess Complex Template

Retained Foreign Body Template

Trigger Point Injection Template

Joint Injection Template

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 for purchase. 

To purchase:
Operations Manual Template Order Form
Urgent Care Center Quality Assurance Checklist Order Form