ConfirmX

Check-In Time

Patient's First Name

Patient's Last Name

Date of Birth

Gender

Mobile # to Receive Confirmation

First Visit To This Location?

Zip Code

Reason For Visit

Medical Insurance

Physicians Premier ER - Bulverde

Emergency Room

Open 24 Hours

20475 Highway 46, Suite 100
Spring Branch, TX 78070

(830) 438-6911

I have read and agree to the ConfirmX

I understand that online scheduling is not to be used for life-threatening conditions. I have determined that my condition is not a life-threatening or an emergency medical condition.