AFC Urgent Care Paramus

Virtual Visit

Closed

9:00am to 6:00pm EDT

(201) 262-2010

Thank you for setting up your Telemedicine appointment at AFC Urgent Care, Paramus. We are doing Covid 19 Antibody testing at this location. If you do not have insurance, and would like to have a Covid 19 Antibody test done, please be sure to provide us with either your Social Security Number or Drivers License Number. The attached Attestation Form is ONLY for uninsured patients. We look forward to assisting you.

REASON FOR VIDEO VISIT

CHOOSE A DATE AND TIME:

HAVE YOU BEEN TO AFC URGENT CARE PARAMUS 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, and Privacy 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