Registration Forms

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.

Download the Registration Form today!

After you sign in, the front office personnel will request:

• Insurance Card
• Photo ID
• Co-Pay

Important Notices

Other Important Forms

To access these important forms, simply click on the form name.

Form 1)  Notice of Privacy Practices In Spanish (Aviso de práctices de privacidad en español)

Form 2)  Notice of Privacy Practices

Form 3)  Free Prescription Savings Card