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
Registration Form For Returning Patients
Registration Form For Occupational Medicine/Workers’ Compensation
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)