Walk-in Rapid Testing and PCR Testing for COVID-19 is available. Walk in at any time or book an appointment online.

AFC Pinellas Park

Patient Forms

CALL US TODAY | (727) 201-8585

Reservations

Reserve online or walk in today!

Reserve Now

Call Our Center

Contact us for up to date information

727-201-8585

Patient Forms at Urgent Care and Walk-In Clinic in Pinellas Park, FL

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
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)

How Can We Help?

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

Reservations

Reserve Now

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

CALL US TODAY | (727) 201-8585

About Our Services:

Call 727-201-8585 for more information about our Pinellas Park urgent care services.

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