Walmart Health - Patient Information

completedLocationcompletedCarecompletedSchedulecurrent stepYour Info

Required*

Are you scheduling for yourself, or someone else?*

Myself

Someone Else

First name*

Last name*

Date of birth*

Street address*

Apt, suite, etc

Zip code*

City*

State*

Sex at birth*

Gender Identity*

Please provide contact information of the patient, or the patient’s authorized personal representative, to receive communications from Walmart Health. By default all communication will go to the contact information you share with us.

Required*

Email address*

Phone number*

Required*

Would you like to add insurance information now?*

Yes

No

Walmart Health accepts many major insurance plans. Please note that not all providers participate in all plans. Co-pays are due at the time of service. You are always welcome to pay out-of-pocket.

Let's get to know the patient

Who is this appointment for?

Contact information

Insurance