Discover our exclusive offerings: DOT Physicals for only $85 and Immigration Physicals for an unbeatable $200.* Labs and vaccines are additional.

AFC Ladera Ranch Occupational Health Authorization

CALL US TODAY | (949) 207-3786

Schedule Visit

Schedule your appointment today!

Telemedicine Visit

Call Our Center

Contact us for up to date information

(949) 207-3786
professionals

Occupational Health Authorization & New Business Form

Welcome employers! Please fill out the form needed below.

New Companies: If you are inquiring about starting an account, please complete the New Company Form below.

If you prefer a paper authorization form, please CLICK HERE. Please link the PDF attached.

Authorization Form

- Please provide your WC info if you would prefer that we bill your insurance. If your company would like to be billed directly, please input BILL DIRECT.

New Business Form

AFC Urgent Care Logo Adhesive Bandage

How Can We Help?

  • PATIENT SERVICES
  • COVID-19 SERVICES
  • TELECARE
  • EMPLOYER RESOURCES
  • PATIENT RESOURCES
  • ABOUT US
afc urgent care logo

Schedule your appointment

Save Your Spot
AFC Urgent Care Logo Adhesive Bandage

Don't wait to get the medical attention you need.

CALL US TODAY | (949) 207-3786

Recent Blogs

About Our Services:

Call (949) 207-3786 for more information about our Ladera Ranch urgent care services.

Yes