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Date of Birth

Please Enter Patient's Date of Birth Must be at least 18 years old for in-person primary care visits. Please visit Indigo Online Care or Indigo Urgent Care. Please Enter a Valid Date of Birth

Mobile

Please enter Patient Mobile Number in this format 555-555-1212

Email

Please enter Valid Email Address

Reason for Visit

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Gender

Female Male Other

Payment Type

Insurance Self

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Add Insurance Paperwork

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Book Appointment

1. Select a care type

Online Urgent Care

Online Primary Care

2. Pick a date & time

Choose an appointment slot from the list below