AFC Narberth

Patient Forms

CALL US TODAY | (484) 270-8600

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484-270-8600

Patient Forms at Urgent Care and Walk-In Clinic in Narberth, 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 with you.

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)
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How Can We Help?

  • PATIENT SERVICES
  • COVID-19 SERVICES
  • TELECARE
  • EMPLOYER RESOURCES
  • PATIENT RESOURCES
  • ABOUT US
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Schedule Appointment

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

CALL US TODAY | (484) 270-8600

About Our Services:

Call 484-270-8600 for more information about our Narberth urgent care services.

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