AFC West Chester Patient Forms
CALL US TODAY | (484) 999-0204
Treatment for Cuts, Lacerations, Injuries, and More!
No appointments necessary - come to us and get seen much faster than the ER.
Register OnlinePatient Forms at Urgent Care and Walk-In Clinic in West Chester, PA
To speed up the check-in process with American Family Care, please click on the Registration Form below, complete all the information, and bring the completed form in. Patients can also register online by clicking here
Registration Form
Registration Form For Returning Patients
Registration Form For Occupational Medicine/Workers’ Compensation
HIPAA Notice Form
HIPAA Notice Form in Spanish
After you sign in, the front office personnel will request:
- Insurance Card
- Photo ID
- Your payment share for your visit. (Copay or Coinsurance)
Formerly AFC Doctors Express
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CALL US | (484) 999-0204
Don't wait to get the medical attention you need.
CALL US TODAY | (484) 999-0204
