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