registrationforms

WELCOME TO AMERICAN FAMILY CARE

To speed up the check-in process with American Family Care, please click on the Registration Form below, complete all the information, and bring the completed form in with you.

Click here for the Registration Form

Click here for the Registration Form in Spanish

Click here for the HIPAA Notice Form

Click here for the HIPAA Notice Form in Spanish

After you sign in our front office personnel will request

• Insurance Card
• Photo ID
• Co-Pay

 






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