Patient Forms at Urgent Care and Walk-In Clinic in West Chester, PA

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.

• Registration Form
• HIPAA Notice Form
• HIPAA Notice Form in Spanish

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

• Insurance Card
• Photo ID
• Co-Pay (your payment share for the visit if applicable)