TeleVisits – New Patients

If you’re a New Patient needing a TeleVisit

  • Complete and submit the intake form located below.

TeleVisit Intake Form

  • Download and print the Televisit Registration and PFR forms.
  • Please email the completed forms along with photo’s of your insurance card (front & back) and photo ID to
  • We will verify the insurance and then call you to schedule your appointment, collect payment and verify your medical history and medication list.
  • AFD is currently using for TeleVisits. Once your appointment has been confirmed you will be sent a simple URL via text message to use to get started.

For Best Care, Download our Healow App now on your smartphone and use our AFD Practice Code EIFAAA.