All Patient First Centers remain open 8 am to 10 pm for Walk-in Care of Illness and Injury. Click LEARN MORE for information about COVID-19, including information on:

COVID-19 Virus Testing (Current Infection)
COVID-19 Antibody Testing (Previous Infection)
The COVID-19 Vaccine – not currently available

Forms

Authorization for Release of Information

English

Authorization for Release of Information

PDF

Español

Authorizacion de Entrega de Informacion

PDF

Treatment and Payment Policy

English

Maryland Treatment and Payment Policy Form

PDF

New Jersey Treatment and Payment Policy Form

PDF

Pennsylvania Treatment and Payment Policy Form

PDF

Virginia Treatment and Payment Policy Form

PDF

Credit Card Authorization Notice

PDF

Español

Politicas Sobre Tratamientos y Pagos Para Maryland

PDF

Politicas Sobre Tratamientos y Pagos Para New Jersey

PDF

Politicas Sobre Tratamientos y Pagos Para Pennsylvania

PDF

Politicas Sobre Tratamientos y Pagos Para Virginia

PDF

Notificación relacionada con Autorización de Tarjetas de Crédito

PDF

Contact Us

Question or Comment about a Visit Form

WEB

General Feedback Form

WEB

Itemized Statement Request Form

WEB

Center Contact Information

PDF

For Employers

Worker's Compensation Re-file Form

WEB

Telemedicine

Informed Consent to Telemedicine Services and Patient First Policies

Telehealth Consent Form - Minors

PDF

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