South Philly, PA Urgent Care | Call 1-215-977-4820 | 1444 W. Passyunk Avenue, Philadelphia, PA 19145

Patient FormsĀ at Urgent Care and Walk-In Clinic in South Philly, PA

To speed up the check-in process with AFC Urgent Care South Philly, please click, download and print out the Registration Form below. Complete all the information and bring the completed form in with you when you visit our medical facility.

Registration Form
HIPAA Notice Form
HIPAA Notice Form in Spanish

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

  • Insurance Card
  • Photo ID
  • Co-Pay (if applicable)

Formerly AFC Doctors Express

1444 W. Passyunk Avenue,
Philadelphia, PA 19145

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