Emergency Center Check-in for:

Five Star ER | Round Rock

Your Name*

Your Email*


Mobile Phone*

Reason For Visit*

Terms & Conditions

I understand the online check-in is not to be used for life threatening conditions. I do not believe the patient’s condition is life threatening and understand if this is a true medical emergency, I should call 911 immediately.*

I consent to be contacted by email, and understand that sensitive, information may be contained in this email, and that using email contains certain risks.*

If you think you may have a life threatening medical emergency, call your doctor or 911 immediately.

*All Fields Required

Share on Facebook0Share on Google+0Pin on Pinterest0Tweet about this on TwitterShare on Tumblr0Print this page