Payments | AFC Urgent Care

Welcome to the AFC Urgent Care of Sedalia Patient payment portal.

Please complete all the information requested for a single payment or to set up a payment plan.

There will be a one-time processing fee of $15 per Payment Plan (only if payment plan is selected).

The $15 one-time fee for recurring payments will be charged as a separate transaction.

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First Name

First Name required.

Last Name

Last Name required.

Account Number

Account Number required.

Patient ID

Patient ID required.

Email Address

A receipt will be sent to this email address.

Email Address required.

Do you want to setup a payment plan?

Yes No

A minimum payment of $40 is required and for no more than 12 months.

Payment Schedule required.

Payment Date

Payment Date required.

Account Balance

Account Balance required.

Number of Payments

Number of Payments required.

Payment Amount

Payment Amount required.