AFC Mt. Vernon Patient Resources
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Patient Resources in Mt. Vernon at AFC Urgent Care
Patient Forms
American Family Care offers a number of patient resources, including the following: pre-registration forms, statement inquiry, or medical records release form.
American Family Care accepts most insurance plans. In order for us to better serve you, please call the clinic directly.
The forms below are not registering you for an appointment, these are to help expedite your appointment.Patient Registration Form
Consent for Electronic Communication
Medical Records Release Form
AFC can also file your claim for you; however, any co-pays, deductibles, or non-covered services must be paid at time of services rendered. We also accept Cash, Check, Visa, Mastercard, Discover Card, and American Express.
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CALL US | (914) 202-4830
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CALL US TODAY | (914) 202-4830