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American Family Care
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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.

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

Find a Center Near You

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Tell us about your visit!

Tell us about your visit. We value your feedback via online reviews, patient satisfaction surveys, or by phone call, email, or local office visit.

Feedback Form

News & Updates

  • girl coloringMake Your Own Back-to-School Health Kit!August 19, 2016 - 8:00 am
  • School sleep scheduleBack to School: Are Your Kids Getting Enough Sleep?August 12, 2016 - 8:00 am

Contact Us

American Family Care
3700 Cahaba Beach Road
Birmingham, Al 35242
205-403-8902
(800) 258-7535

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