AFC Clifton
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Registration Forms in Clifton and Passaic, NJ at AFC Urgent Care


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 with you.

Download the Registration Form.

Download the Release form.

Download the Electronic Communication Form.

After you sign in, the front office personnel will request:

  • Insurance Card
  • Photo ID
  • Co-Pay
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About Our Services:

Call (862) 662-2221 for more information about our Clifton urgent care services.