Walk-in Rapid Testing and PCR Testing for COVID-19 is available. No Appointment Needed!

AFC Pinellas Park

Patient Forms

CALL US TODAY | (727) 201-8585

Contact Us

Reach out to our center to get updated information.

(727) 201-8585

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)
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How Can We Help?

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

(727) 201-8585
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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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