AFC Urgent Care Fairfield/Shelton and Bridgeport

Virtual Visit

Opening soon

8:00am to 8:00pm EDT

Starting Tuesday March 31 2020, at 9am AFC of Fairfield Shelton and Bridgeport will be starting Telemedicine. Go to one of our websites to login.

REASON FOR VIDEO VISIT

CHOOSE A DATE AND TIME:

HAVE YOU BEEN TO AFC URGENT CARE FAIRFIELD/SHELTON AND BRIDGEPORT BEFORE?:

Yes

PATIENT INFO:

Patient first name

Patient last name

Year

Mobile number

Email address

HOME ADDRESS:

Street Address

Apt, Suite, etc (optional)

City

ZIP code

HOW DO YOU WANT TO PAY?

Insurance

Self-Pay

If you select insurance, your responsibility will vary depending on your plan. Self-pay is a flat rate of $75.

I have read, understand and agree to Solv Health’s Terms of Service, Financial Relationships, andPrivacy Policy.

I give my consent for the use of telemedicine in my medical care and have read, understand, and agree to these Terms

Bookings by Solv.

For emergencies please call 911